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NPI Code Detail

MEDICARE: JERRY CHUN-HAN CHEN

MEDICARE: JERRY CHUN-HAN 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
1207RS0012XSleep Medicine (Internal Medicine) PhysicianDOL.OL.70108432WA
2207R00000XInternal Medicine PhysicianPTL2957CA

General Provider Information

NPI Number : 1083201636
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY CHUN-HAN CHEN
Provider Business Mailing Address
First Line : 325 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2499
Country : US
Telephone Number : 206-744-3000
Fax Number :
Provider Business Practice Location Address
First Line : 4004 BEYER BLVD
Second Line :
City : SAN YSIDRO
State : CA
Zip : 92173-2099
Country : US
Telephone Number : 619-662-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2020
Last Update Date : 06/04/2026

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Directions to “ JERRY CHUN-HAN CHEN ” Practice Location

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