Chan, Lisa Mika

Chan, Lisa Mika is an individual health care provider with primary practice located at 18133 Old Trail Ln , Fountain Valley CA 92708-6859. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Chan, Lisa Mika can be contacted via phone (714) 717-2233.

Contact Information

Primary practice address
18133 Old Trail Ln Fountain Valley CA 92708-6859
Phone: (714) 717-2233
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA18236 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18236 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18236 California

Profile Details

NPI number 1831128446
LBN Legal business name Chan, Lisa Mika
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831128446 NPPES
California Other 1831128446 NPI (NATIONAL PROVIDER IDENTIFICATION) NUMBER

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