Healthcare Provider Details

I. General information

NPI: 1679929434
Provider Name (Legal Business Name): ALICE HUE CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 N MEDICAL CENTER DR E STE 211
CLOVIS CA
93611-6808
US

IV. Provider business mailing address

PO BOX 889442
LOS ANGELES CA
90088-1324
US

V. Phone/Fax

Practice location:
  • Phone: 559-451-3676
  • Fax: 559-451-3680
Mailing address:
  • Phone: 559-603-7372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberA197661
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: