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NPI Code Detail

MEDICARE: WEBER CHEN MEDICAL CORP

MEDICARE: WEBER CHEN MEDICAL CORP
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
1207RH0003XHematology & Oncology PhysicianA85444CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11679504393OTHERCAINDIVIDUAL NPI
2A85444OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1396846432
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEBER CHEN MEDICAL CORP
Provider Business Mailing Address
First Line : 1936 HUNTINGTON DR STE C
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-4859
Country : US
Telephone Number : 606-288-0008
Fax Number : 866-741-4630
Provider Business Practice Location Address
First Line : 1936 HUNTINGTON DR STE C
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-4859
Country : US
Telephone Number : 606-288-0008
Fax Number : 866-741-4630
Authorized Official
Title or Position : PHYSICIAN / OWNER
Name : DR. WEBER CHEN
Credential : M.D.
Telephone Number : 626-288-0008
Provider Enumeration Date : 09/25/2006
Last Update Date : 03/27/2020

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Directions to “WEBER CHEN MEDICAL CORP ” Practice Location

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