Individual ProviderBrandon ChanOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3002 Dow Ave Ste 122, Tustin, CA 92780-7247(949) 328-7688PECOS EnrollmentBased on the most recent information from CMS, provider Brandon Chan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1568242923Provider TypeIndividualFull NameChan, BrandonGenderMaleSole ProprietorYesEnumeration Date10/3/2023Last Updated10/3/2023Contact InformationPractice LocationPractice Address3002 Dow Ave Ste 122, Tustin, CA 92780-7247Phone(949) 328-7688FaxUnlisted FaxMailing LocationMailing Address3002 Dow Ave Ste 122, Tustin, CA 92780-7247Phone(949) 328-7688FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer