| Doctor Name: | DR. JENNIFER SEE-WAH CHEN |
| NPI Number: | 1033506142 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM. MPH |
| License Number: | E5196 |
| Business Practice Address: | 404 W Baseline Rd Glendora, CA - 917404801 |
| Business Phone Number: | 6269630302 |
| Business Fax Number: | 6269634703 |
| Mailing Address: | 404 W Baseline Rd, GLENDORA |
| State: | CA |
| Postal Code: | 917404801 |
| Phone Number: | 6269630302 |
| Fax Number: | 6269634703 |
| NPI Enumeration Date: | 04/16/2015 |
| NPI Last Update Date: | 04/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E5196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |