Healthcare Provider Details

I. General information

NPI: 1740119445
Provider Name (Legal Business Name): LINDSEY CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELLE CHEN

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 5TH ST
SAN FRANCISCO CA
94107-1536
US

IV. Provider business mailing address

1519 LOCUST ST
SAN MATEO CA
94402-3053
US

V. Phone/Fax

Practice location:
  • Phone: 650-931-5589
  • Fax:
Mailing address:
  • Phone: 650-931-5589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: