MEDICARE: MR. NAN 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
1	171100000X	Acupuncturist	AC 5934	CA

General Provider Information

NPI Number	:	1134337033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NAN CHEN

Provider Business Mailing Address
First Line	:	668 W CAMINO REAL AVE
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-7900
Country	:	US
Telephone Number	:	626-215-0150
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 N EUCLID ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1954
Country	:	US
Telephone Number	:	626-215-0150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/08/2007

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Directions to “ MR. NAN CHEN ” Practice Location

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