Healthcare Provider Details

I. General information

NPI: 1043368863
Provider Name (Legal Business Name): TEMPE KATHRYN CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ATLANTIC AVE BICKERSTAFF PEDIATRIC FAMILY CENTER
LONG BEACH CA
90806-1701
US

IV. Provider business mailing address

2801 ATLANTIC AVE BICKERSTAFF PEDIATRIC FAMILY CENTER
LONG BEACH CA
90806-1701
US

V. Phone/Fax

Practice location:
  • Phone: 562-933-8590
  • Fax: 562-933-8093
Mailing address:
  • Phone: 562-933-8590
  • Fax: 562-933-8093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberA86155
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: