Healthcare Provider Details

I. General information

NPI: 1972899847
Provider Name (Legal Business Name): DANIEL C CHEN M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 W BEVERLY BLVD STE 303
MONTEBELLO CA
90640-3951
US

IV. Provider business mailing address

1142 S DIAMOND BAR BLVD STE 688
DIAMOND BAR CA
91765-2203
US

V. Phone/Fax

Practice location:
  • Phone: 626-463-8162
  • Fax:
Mailing address:
  • Phone: 626-463-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberA126161
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: