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NPI Code Detail

MEDICARE: DR. PETER CHEN

MEDICARE:  DR. PETER  CHEN
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
11223G0001XGeneral Practice Dentistry47460CA

Other Identifiers

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

General Provider Information

NPI Number : 1841336898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER CHEN
Provider Business Mailing Address
First Line : 2144 S BRISTOL ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-5123
Country : US
Telephone Number : 714-784-5779
Fax Number : 323-249-7565
Provider Business Practice Location Address
First Line : 2144 S BRISTOL ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-5123
Country : US
Telephone Number : 714-784-5779
Fax Number : 323-249-7565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 12/12/2012

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Directions to “ DR. PETER CHEN ” Practice Location

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