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Jason Chuan-Jae Kuan

Student in an Organized Health Care Education/Training Program

Student, Health Care

101 The City Drive, City Tower, Ste 400, Orange, CA 92868

PECOS Enrollment

This provider is enrolled in PECOS as JASON KUAN.

Based on the most recent information from CMS, provider Jason Chuan-Jae Kuan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1518617844
Provider Type
Individual
Full Name
Kuan, Jason Chuan-Jae
Gender
Male

Sole Proprietor
No
Enumeration Date
3/28/2022
Last Updated
3/28/2022

Contact Information

Practice Location

101 The City Drive, City Tower, Ste 400, Orange, CA 92868

(714) 456-5691

Unlisted Fax

Mailing Location

11073 Bel Aire Ct, Cupertino, CA 95014-4701

(408) 893-7512

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jason Chuan-Jae Kuan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ma, Michael

Roberson, Jalin

Lopez, Ian

Cantwell, Christina

Jahansooz, Julia

Andary, Rana

Cheung, Elaine

Marshall, Melinda Lauren

Wang, Sixian

Barashy, Ori