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General NPI Number Information
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NPI Number | 1629905963
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Entity Type | Organization
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Legal Business Name | CHAD CARMAN DO AND ASSOCIATES A CALIFORNIA MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 17155 NEWHOPE ST STE Q
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4233
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Country | US
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Telephone | 714-794-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 17155 NEWHOPE ST STE Q
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4233
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Country | US
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Telephone | 714-794-9844
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Fax |
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Authorized Official
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Title or Position | CFO & SECRETARY
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Name | JAYLENE NGUYEN
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Credential |
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Telephone | 714-794-9844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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