Healthcare Provider Details

I. General information

NPI: 1346350105
Provider Name (Legal Business Name): SAKO CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/08/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S BUENA VISTA ST 225
BURBANK CA
91505-4569
US

IV. Provider business mailing address

844 MAGNOLIA AVE 13
PASADENA CA
91106-4610
US

V. Phone/Fax

Practice location:
  • Phone: 818-239-0288
  • Fax:
Mailing address:
  • Phone: 626-744-3622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA74977
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: