Healthcare Provider Details

I. General information

NPI: 1962401489
Provider Name (Legal Business Name): HSIANG-SHIEN CHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: HENRY CHEN M.D.

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 JEFFERSON AVE SUITE 2
CHINO CA
91710-3522
US

IV. Provider business mailing address

5450 JEFFERSON AVE SUITE 2
CHINO CA
91710-3522
US

V. Phone/Fax

Practice location:
  • Phone: 909-591-3869
  • Fax: 909-627-2508
Mailing address:
  • Phone: 909-591-3869
  • Fax: 909-627-2508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA31958
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: