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NPI Code Detail

MEDICARE: KATHERINE CHEN

MEDICARE: KATHERINE CHEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianA136608CA

General Provider Information

NPI Number : 1053638726
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE CHEN
Provider Business Mailing Address
First Line : 409 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 409 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2001
Country : US
Telephone Number : 818-265-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2010
Last Update Date : 05/07/2024

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Directions to “ KATHERINE CHEN ” Practice Location

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