Organization Name: | KOUNG Y CHEN MD, A PROFESSIONAL CORPORATION |
NPI Number: | 1932309317 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KOUNG Y CHEN (PHYSICIAN/PRESIDENT) |
Mailing Address: | 16415 Colorado Ave Suite 101 Paramount |
State: | CA US |
Postal Code: | 907235035 |
Phone Number: | 5626346341 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2007 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A31723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |