Healthcare Provider Details

I. General information

NPI: 1740097815
Provider Name (Legal Business Name): BRENDA CHEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S GARFIELD AVE
ALHAMBRA CA
91801-5859
US

IV. Provider business mailing address

707 S GARFIELD AVE FL 2
ALHAMBRA CA
91801-5859
US

V. Phone/Fax

Practice location:
  • Phone: 626-282-1600
  • Fax:
Mailing address:
  • Phone: 626-282-1600
  • Fax: 626-656-1261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPA65566
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberPA65566
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: