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NPI Code Detail

MEDICARE: JANIE CHEN M.D.

MEDICARE: JANIE 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
1207R00000XInternal Medicine PhysicianA85897CA
2208M00000XHospitalist PhysicianA85897CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CG5665OTHERCARAIL ROAD MEDICARE - GROUP PTAN
3W1514OTHERCAMEDICARE PTAN - TYPE 2
4P00332288OTHERCARAIL ROAD MEDICARE - PROVIDER PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21912919804OTHERNPI - TYPE 2

General Provider Information

NPI Number : 1184693681
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIE CHEN M.D.
Provider Business Mailing Address
First Line : 3440 E LA PALMA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92806-2020
Country : US
Telephone Number : 714-644-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3440 E LA PALMA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92806-2020
Country : US
Telephone Number : 714-644-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 12/01/2021

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Practice Location Address:
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