Healthcare Provider Details
I. General information
NPI: 1023134020
Provider Name (Legal Business Name): HUO CHEN, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 N GARFIELD AVE SUITE 105
MONTEREY PARK CA
91754-1166
US
IV. Provider business mailing address
600 N. GARFIELD AVENUE SUITE 105
MONTEREY PARK CA
91754
US
V. Phone/Fax
- Phone: 626-307-9269
- Fax: 626-307-0354
- Phone: 626-307-9269
- Fax: 626-307-0354
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | A26386 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
HUO
CHEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-307-9269