MEDICARE: CHIA-CHEN 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	208D00000X	General Practice Physician	A36500	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740263870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIA-CHEN CHEN MD

Provider Business Mailing Address
First Line	:	159 N CLARK ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93701-2108
Country	:	US
Telephone Number	:	559-266-5882
Fax Number	:	559-266-8311

Provider Business Practice Location Address
First Line	:	159 N CLARK ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93701-2108
Country	:	US
Telephone Number	:	559-266-5882
Fax Number	:	559-266-8311

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	08/23/2013

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Directions to “ CHIA-CHEN CHEN MD” Practice Location

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