Doctor Name: | DAVID CHEN |
NPI Number: | 1023016896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A78258 |
Business Practice Address: | 719 E 1st St Ste C Santa Ana, CA - 927015330 |
Business Phone Number: | 7145470104 |
Business Fax Number: | 7149738612 |
Mailing Address: | 719 East 1st. Street, Suite C SANTA ANA |
State: | CA |
Postal Code: | 92701 |
Phone Number: | 7145470104 |
Fax Number: | 7149738612 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A78258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |