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General NPI Number Information
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NPI Number | 1942293659
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Entity Type | Organization
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Legal Business Name | PO ZAN CHEN MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2605 1/2 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2309
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Country | US
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Telephone | 323-722-5700
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Fax | 323-722-5701
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Provider Business Mailing Address
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Address Line | 2605 1/2 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2309
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Country | US
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Telephone | 323-722-5700
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Fax | 323-722-5701
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Authorized Official
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Title or Position | PRESIDENT
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Name | PO ZAN CHEN
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Credential | M.D.
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Telephone | 323-722-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | A24530
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License Number State | CA
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