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NPI Code Detail

MEDICARE: MRS. CYNTHIA E CHEN FNP

MEDICARE:  MRS. CYNTHIA E CHEN  FNP
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
1363LF0000XFamily Nurse Practitioner9631CA

General Provider Information

NPI Number : 1437205770
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA E CHEN FNP
Provider Business Mailing Address
First Line : 280 CAGNEY LN
Second Line : APT 307
City : NEWPORT BEACH
State : CA
Zip : 92663-1620
Country : US
Telephone Number : 949-500-9354
Fax Number : 949-645-5747
Provider Business Practice Location Address
First Line : 2077 HARBOR BLVD
Second Line : SUITE C
City : COSTA MESA
State : CA
Zip : 92627
Country : US
Telephone Number : 949-722-2510
Fax Number : 949-722-2511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2007
Last Update Date : 04/03/2018

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