Healthcare Provider Details

I. General information

NPI: 1669604146
Provider Name (Legal Business Name): DAVID CHEN AND ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2009
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16085 TUSCOLA RD STE 1
APPLE VALLEY CA
92307-1358
US

IV. Provider business mailing address

411 E HUNTINGTON DR 107-258
ARCADIA CA
91006-3731
US

V. Phone/Fax

Practice location:
  • Phone: 760-242-1551
  • Fax: 760-242-0103
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID CHEN
Title or Position: SECRETARY
Credential:
Phone: 626-548-7017