MEDICARE: DR. MAN-CHUN MANDY 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
1	207R00000X	Internal Medicine Physician	A83796	CA

General Provider Information

NPI Number	:	1780909838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAN-CHUN MANDY CHEN M.D.

Provider Business Mailing Address
First Line	:	746 N BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2820
Country	:	US
Telephone Number	:	213-617-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	746 N BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2820
Country	:	US
Telephone Number	:	213-617-0777
Fax Number	:

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

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	04/01/2010

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Directions to “ DR. MAN-CHUN MANDY CHEN M.D.” Practice Location

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