MEDICARE: ANDREW CHIA YUEN CHEN D.D.S.

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	1223G0001X	General Practice Dentistry	51909	CA

General Provider Information

NPI Number	:	1346224946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW CHIA YUEN CHEN D.D.S.

Provider Business Mailing Address
First Line	:	20147 S. PIONEER BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90715-1051
Country	:	US
Telephone Number	:	562-924-0558
Fax Number	:	562-924-2059

Provider Business Practice Location Address
First Line	:	3015 TRAP ROCK WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-1858
Country	:	US
Telephone Number	:	916-837-9694
Fax Number	:

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

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	03/07/2023

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