Paul E. Chasan, M.D., Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G68600 Issued in CA

Legal business name

PAUL E. CHASAN, M.D., INC.

Practice address

9850 Genesee Avenue
Suite 880
La Jolla, CA 92037

Phone

(858) 450-1555

Fax

(858) 450-1527

NPI assigned

Oct 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul Elliott Chasan, MD FACS

Title

Ceo

Phone

(858) 450-1555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1871680231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVENUE",
            "address_2": "SUITE 880",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-450-1555",
            "fax_number": "858-450-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVENUE",
            "address_2": "SUITE 880",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-450-1555",
            "fax_number": "858-450-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. CHASAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "CHASAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-450-1555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G68600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.