MEDICARE: HONG CHEN

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1114427200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONG CHEN

Provider Business Mailing Address
First Line	:	6696 CORONADO PALMS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6696 CORONADO PALMS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5344
Country	:	US
Telephone Number	:	702-339-7182
Fax Number	:

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

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	02/15/2018

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Directions to “ HONG CHEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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