Healthcare Provider Details

I. General information

NPI: 1346604006
Provider Name (Legal Business Name): CHIEH-YU CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 RHODE ISLAND ST
SAN FRANCISCO CA
94103-5182
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 415-826-7575
  • Fax:
Mailing address:
  • Phone: 415-600-5400
  • Fax: 415-369-1393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC197005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: