Doctor Name: | CHIA-CHEN CHEN |
NPI Number: | 1740263870 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A36500 |
Business Practice Address: | 159 N Clark St Fresno, CA - 937012108 |
Business Phone Number: | 5592665882 |
Business Fax Number: | 5592668311 |
Mailing Address: | 159 N Clark St, FRESNO |
State: | CA |
Postal Code: | 937012108 |
Phone Number: | 5592665882 |
Fax Number: | 5592668311 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A36500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |