MEDICARE: DAVID C P CHEN, M.D., INC

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	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285785519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID C P CHEN, M.D., INC

Provider Business Mailing Address
First Line	:	1129 S SAN GABRIEL BLVD
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3114
Country	:	US
Telephone Number	:	626-282-2802
Fax Number	:	626-282-2202

Provider Business Practice Location Address
First Line	:	1129 S SAN GABRIEL BLVD
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3114
Country	:	US
Telephone Number	:	626-282-2802
Fax Number	:	626-282-2202

Authorized Official
Title or Position	:	BILLING SUPERVISOR
Name	:	JACQUELINE MA
Credential	:	BILLING SUPERVISOR
Telephone Number	:	626-282-2802

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	10/03/2025

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Directions to “DAVID C P CHEN, M.D., INC ” Practice Location

Language	Start Address	Practice Location

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