Healthcare Provider Details

I. General information

NPI: 1386697431
Provider Name (Legal Business Name): ANTHONY J CHEN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640 LOMITA BLVD SUITE 303
TORRANCE CA
90505-3927
US

IV. Provider business mailing address

3640 LOMITA BLVD SUITE 303
TORRANCE CA
90505-3927
US

V. Phone/Fax

Practice location:
  • Phone: 310-375-1728
  • Fax: 310-375-1708
Mailing address:
  • Phone: 310-375-1728
  • Fax: 310-375-1708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberA75084
License Number StateCA

VIII. Authorized Official

Name: DR. ANTHONY J CHEN
Title or Position: PRESIDENT
Credential: MD
Phone: 310-375-1728