Healthcare Provider Details

I. General information

NPI: 1346115045
Provider Name (Legal Business Name): ANGELA CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E CAMPBELL AVE STE 170
CAMPBELL CA
95008-2001
US

IV. Provider business mailing address

51 E CAMPBELL AVE STE 170
CAMPBELL CA
95008-2001
US

V. Phone/Fax

Practice location:
  • Phone: 650-353-7022
  • Fax:
Mailing address:
  • Phone: 650-353-7022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95037356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: