MR. Mickey De Guzman Chan, DMSC, MHSC, PA-C

NPI #1700626652 in Turlock, California

Provider Information

NPI Number: 1700626652
Entity Type: Individual
Name: MR. Mickey De Guzman Chan, DMSC, MHSC, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: DMSC, MHSC, PA-C
Enumeration Date: May 29, 2024
Last Updated: May 16, 2025

Practice Location

Address: 1801 COLORADO AVE STE 160
City: Turlock
State: California
ZIP Code: 95382-2709
Phone: (209) 226-4299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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