Healthcare Provider Details

I. General information

NPI: 1235898933
Provider Name (Legal Business Name): HUO CHEN MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 12/10/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NORTH GARFIELD AVENUE SUITE 105
MONTEREY PARK CA
91754-1168
US

IV. Provider business mailing address

600 NORTH GARFIELD AVENUE SUITE 105
MONTEREY PARK CA
91754-1168
US

V. Phone/Fax

Practice location:
  • Phone: 626-307-9269
  • Fax: 626-307-9261
Mailing address:
  • Phone: 626-307-9269
  • Fax: 626-307-9261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HUO CHEN
Title or Position: PRESIDENT
Credential: MD
Phone: 626-307-9269