Alex Chadwick Van Der Ham, PA
NPI #1043853237 in Lake Forest, California
Provider Information
- NPI Number
- 1043853237
- Entity Type
- Individual
- Name
- Alex Chadwick Van Der Ham, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Oct 21, 2019
- Last Updated
- Apr 8, 2021
Practice Location
- Address
- 26730 TOWNE CENTRE DR STE 204
- City
- Lake Forest
- State
- California
- ZIP Code
- 92610-2842
- Phone
- (949) 380-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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