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NPI Code Detail

MEDICARE: DR. VAN TZE CHEN M.D.

MEDICARE: DR. VAN TZE 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
1208100000XPhysical Medicine & Rehabilitation PhysicianG79198CA

General Provider Information

NPI Number : 1295798213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VAN TZE CHEN M.D.
Provider Business Mailing Address
First Line : 1760 W 16TH ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92411-1160
Country : US
Telephone Number : 909-473-1200
Fax Number : 909-473-1230
Provider Business Practice Location Address
First Line : 1760 W 16TH ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92411-1160
Country : US
Telephone Number : 909-473-1200
Fax Number : 909-473-1230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 03/24/2010

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Directions to “ DR. VAN TZE CHEN M.D.” Practice Location

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