Healthcare Provider Details

I. General information

NPI: 1700311388
Provider Name (Legal Business Name): YING CHEN MOYER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8006 DISCOVERY DR STE 400
HENRICO VA
23229-8600
US

IV. Provider business mailing address

3121 DIVINE DR
RICHMOND VA
23222-4159
US

V. Phone/Fax

Practice location:
  • Phone: 804-256-8282
  • Fax: 804-256-8288
Mailing address:
  • Phone: 757-582-5781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102206047
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: