MEDICARE: FEN 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	19897	CA

General Provider Information

NPI Number	:	1194591461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEN CHEN

Provider Business Mailing Address
First Line	:	2415 FOREST AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 FOREST AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1505
Country	:	US
Telephone Number	:	510-402-9038
Fax Number	:

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

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	11/28/2023

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Directions to “ FEN CHEN ” Practice Location

Language	Start Address	Practice Location

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