MEDICARE: SEAN XIANG CHEN MD

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	207QA0505X	Adult Medicine Physician	A184478	CA

General Provider Information

NPI Number	:	1336777838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN XIANG CHEN MD

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	18546 ROSCOE BLVD STE 300
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-5458
Country	:	US
Telephone Number	:	818-886-4028
Fax Number	:	818-886-6072

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

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	12/07/2025

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