MEDICARE: ROBERT CHEN MD

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
1	207RH0000X	Hematology (Internal Medicine) Physician	A104327	CA
2	207RH0003X	Hematology & Oncology Physician	A104327	CA

General Provider Information

NPI Number	:	1083751358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT CHEN MD

Provider Business Mailing Address
First Line	:	2646 LAKE VIEW AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-4021
Country	:	US
Telephone Number	:	303-913-4146
Fax Number	:

Provider Business Practice Location Address
First Line	:	2646 LAKE VIEW AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-4021
Country	:	US
Telephone Number	:	303-913-4146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	01/02/2019

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Directions to “ ROBERT CHEN MD” Practice Location

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