Healthcare Provider Details

I. General information

NPI: 1487018099
Provider Name (Legal Business Name): ALLEN CHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2016
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 E KINGS CANYON RD
FRESNO CA
93702-3604
US

IV. Provider business mailing address

150 N SANTA ANITA AVE STE 300
ARCADIA CA
91006-3116
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9180
  • Fax:
Mailing address:
  • Phone: 626-821-1806
  • Fax: 626-380-2342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA153348
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: