=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710843594
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARVEY CHEN D.D.S. INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/24/2025
-----------------------------------------------------
Last Update Date | 12/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 888 BREA CANYON RD STE 230
-----------------------------------------------------
City | DIAMOND BAR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91789-3092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-595-1800
-----------------------------------------------------
Fax | 909-594-8915
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 888 BREA CANYON RD STE 230
-----------------------------------------------------
City | DIAMOND BAR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91789-3092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-595-1800
-----------------------------------------------------
Fax | 909-594-8915
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. HARVEY CHEN
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 909-595-1800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------