Healthcare Provider Details

I. General information

NPI: 1154081214
Provider Name (Legal Business Name): STEVEN CHUN AN CHEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 02/09/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E LAMBERT RD
BREA CA
92821-4371
US

IV. Provider business mailing address

1900 E LAMBERT RD
BREA CA
92821-4371
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 833-574-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number85638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: