| Doctor Name: | STEPHANIE KAY CHEN |
| NPI Number: | 1154593739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, PA-C |
| License Number: | 51344 |
| Business Practice Address: | 800 Corporate Dr Suite 100 Ladera Ranch, CA - 926941152 |
| Business Phone Number: | 9493649112 |
| Business Fax Number: | 9493649016 |
| Mailing Address: | 800 Corporate Dr, Suite 100 LADERA RANCH |
| State: | CA |
| Postal Code: | 926941152 |
| Phone Number: | 9493649112 |
| Fax Number: | 9493649016 |
| NPI Enumeration Date: | 03/24/2008 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 51344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |