Healthcare Provider Details

I. General information

NPI: 1043489107
Provider Name (Legal Business Name): CHEN SCHWEZIN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4333 PARK TERRACE DR STE 160
WESTLAKE VILLAGE CA
91361-5653
US

IV. Provider business mailing address

11603 SAVAII ST
CYPRESS CA
90630-5660
US

V. Phone/Fax

Practice location:
  • Phone: 805-497-8258
  • Fax: 805-496-7099
Mailing address:
  • Phone: 805-497-8258
  • Fax: 805-496-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY54304
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN CHEN
Title or Position: PIC
Credential: PHRMD
Phone: 805-497-8258