Healthcare Provider Details

I. General information

NPI: 1932972213
Provider Name (Legal Business Name): PEI-SHU CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZOE CHEN

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 DASHIELL HAMMETT ST
SAN FRANCISCO CA
94108-3113
US

IV. Provider business mailing address

1385 MISSION STREET SUITE 200
SAN FRANCISCO CA
94103
US

V. Phone/Fax

Practice location:
  • Phone: 415-477-7294
  • Fax:
Mailing address:
  • Phone: 415-864-7833
  • Fax: 415-864-7093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT143985
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: