NPI Code Detail JSON Logo

1619009404 NPI number — YUNG-KUANG CHEN MD

NPI Number: 1619009404
Health Care Provider/Practitioner: YUNG-KUANG CHEN MD

Information about “1619009404” NPI (YUNG-KUANG CHEN MD) exists in 1619009404 in HTML format HTML  |  1619009404 in plain Text format TXT  |  1619009404 in PDF (Portable Document Format) PDF  |  1619009404 in an XML format XML  formats.

NPI Number : 1619009404 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619009404",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEN",
    "FirstName": "YUNG-KUANG",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHEN",
    "OtherFirstName": "YUNG",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "10050 BUBB RD",
    "SecondLineMailingAddress": "SUITE #1",
    "MailingAddressCityName": "CUPERTINO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95014-4132",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-996-3376",
    "MailingAddressFaxNumber": "408-996-3136",
    "FirstLinePracticeLocationAddress": "10050 BUBB RD",
    "SecondLinePracticeLocationAddress": "SUITE #1",
    "PracticeLocationAddressCityName": "CUPERTINO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95014-4132",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-996-3376",
    "PracticeLocationAddressFaxNumber": "408-996-3136",
    "EnumerationDate": "03/09/2007",
    "LastUpdateDate": "12/10/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "A74211",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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