JACLYN KWAN PA APC NPI 1164024881

NPI Information

NPI: 1164024881
Provider Name: JACLYN KWAN PA, APC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
6550 PONTO DR SPC 140
CARLSBAD, CA
ZIP 92011
Phone: (310) 619-1161
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JACLYN KWAN PA, APC is a surgical physician assistant in Carlsbad, CA. JACLYN KWAN PA, APC NPI is 1164024881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6550 PONTO DR SPC 140
CARLSBAD, CA
ZIP 92011-317
Phone: (310) 619-1161

The provider's authorized official is Jaclyn Kwan .
The authorized official title is Owner and has the following contact phone number (310) 619-1161.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA51734	OTHER	CALIFORNIA	PHYSICIAN ASSISTANT BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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