MEDICARE: FHL HEALTH LLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1265179931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FHL HEALTH LLC

Provider Business Mailing Address
First Line	:	25284 PLANTING FIELD DR
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-4459
Country	:	US
Telephone Number	:	203-823-8136
Fax Number	:

Provider Business Practice Location Address
First Line	:	10329 DEMOCRACY LN STE B
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-2559
Country	:	US
Telephone Number	:	203-823-8136
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEILING CHEN
Credential	:	FNP
Telephone Number	:	203-823-8136

Provider Enumeration Date	:	05/16/2022
Last Update Date	:	04/23/2026

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Directions to “FHL HEALTH LLC ” Practice Location

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