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NPI Code Detail

MEDICARE: YU-CHUN CHEN DO

MEDICARE: YU-CHUN CHEN DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316684327
Entity Type Code : Individual
Provider Name (Legal Business Name) : YU-CHUN CHEN DO
Provider Business Mailing Address
First Line : 3026 N RICARDO
Second Line :
City : MESA
State : AZ
Zip : 85215-0910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 PRECISION PARK LN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92173-1345
Country : US
Telephone Number : 619-662-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2022
Last Update Date : 05/19/2022

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Directions to “ YU-CHUN CHEN DO” Practice Location

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