Healthcare Provider Details

I. General information

NPI: 1477871127
Provider Name (Legal Business Name): PAUL E. CHASAN M.D. FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 CAMINO DEL MAR
DEL MAR CA
92014-2509
US

IV. Provider business mailing address

1431 CAMINO DEL MAR
DEL MAR CA
92014-2509
US

V. Phone/Fax

Practice location:
  • Phone: 858-450-1555
  • Fax: 858-450-1527
Mailing address:
  • Phone: 858-450-1555
  • Fax: 858-450-1527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberG68600
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: