Healthcare Provider Details

I. General information

NPI: 1982985446
Provider Name (Legal Business Name): CATHERINE LEE CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 PARNASSUS AVE S-436
SAN FRANCISCO CA
94143-0427
US

IV. Provider business mailing address

513 PARNASSUS AVE S-436
SAN FRANCISCO CA
94143-0427
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-3781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA119438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: