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General NPI Number Information
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NPI Number | 1598826513
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Entity Type | Organization
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Legal Business Name | YUNG CHENG JOSEPH CHEN MD
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 17315 STUDEBAKER ROAD SUITE 130
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City | CERRITOS
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State | CA
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Zip | 90703-2521
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Country | US
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Telephone | 714-896-7504
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Fax | 562-866-5730
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Provider Business Mailing Address
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Address Line | PO BOX 2089
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City | ARTESIA
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State | CA
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Zip | 90702-2089
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Country | US
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Telephone | 562-866-1895
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Fax | 562-866-5730
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | YUNG CHENG JOSEPH CHEN
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Credential | M.D.
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Telephone | 562-866-1895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A41376
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License Number State | CA
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