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NPI Code Detail

MEDICARE: JOANNA CHAU JANE CHEN M.D.

MEDICARE:   JOANNA CHAU JANE CHEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianG83480CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300G834800OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1073576807
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA CHAU JANE CHEN M.D.
Provider Business Mailing Address
First Line : PO BOX 720300
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73172-0300
Country : US
Telephone Number : 800-749-4560
Fax Number : 405-749-4561
Provider Business Practice Location Address
First Line : ONE HOAG DR
Second Line : ECU DEPT.
City : NEWPORT BEACH
State : CA
Zip : 92658-6100
Country : US
Telephone Number : 949-764-5689
Fax Number : 405-749-4561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 11/12/2007

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Directions to “ JOANNA CHAU JANE CHEN M.D.” Practice Location

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