Healthcare Provider Details

I. General information

NPI: 1891870119
Provider Name (Legal Business Name): JAMES L. CHEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 12/08/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 GEARY BLVD
SAN FRANCISCO CA
94121-1604
US

IV. Provider business mailing address

6850 GEARY BLVD
SAN FRANCISCO CA
94121-1604
US

V. Phone/Fax

Practice location:
  • Phone: 415-751-6800
  • Fax:
Mailing address:
  • Phone: 415-751-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number20A8279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: