Healthcare Provider Details

I. General information

NPI: 1063471969
Provider Name (Legal Business Name): CHAO-YUN CHEN MS, RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 07/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 E CLINTON AVE DEPT OF NUTRITION AND FOOD SERVICE, VACCHCS
FRESNO CA
93703-2223
US

IV. Provider business mailing address

2615 E CLINTON AVE DEPT OF NUTRITION AND FOOD SERVICE, VACCHCS
FRESNO CA
93703-2223
US

V. Phone/Fax

Practice location:
  • Phone: 559-225-6100
  • Fax: 559-241-6483
Mailing address:
  • Phone: 559-225-6100
  • Fax: 559-241-6483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number577165
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: