Gerald Khan

 
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 11 
 TRI VALLEY ORTHOPEDIC . 4516 Willow Road, PLEASANTON CA 95188-8514 
 FOSTER, Edward (id #351151, BIRTH DATE: 2000-05-10) 
 DATE OF ENCOUNTER: 2015-04-04 
 Patient 
 Name 
 Gerald Khan (78yo, M) ID# 
 Appt. Date/Time 
 2023-03-20 03:40PM 
 325112 
 BIRTH DATE 
 2000-05-10 
 Service Dept. 
 TRACY OFFICE 
 Provider 
 SEAN DOUGHERTY, DPM 
 Insurance 
 Med Worker's Comp: CORVEL - CRUM AND FORSTER 
 Chief Complaint 
 Right Ankle pain 
 Patient's Care Team 
 Insurance Adjuster (Worker's Comp): LETICIA BAILON: Ph (751) 251-1511, Fax (851) 6251-6511 
 Medications 
 Reviewed Medications 
 atorvastatin 20 mg tablet 
 10/04/17 filled 
 051051 
 0511
