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NPI Code Detail

MEDICARE: K. CHEN A P.C.

MEDICARE: K. CHEN A P.C.
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
1122300000XDentist42454CA

General Provider Information

NPI Number : 1477721199
Entity Type Code : Organization
Provider Name (Legal Business Name) : K. CHEN A P.C.
Provider Business Mailing Address
First Line : 17732 BEACH BLVD
Second Line : SUITE A
City : HUNTINGTON BEACH
State : CA
Zip : 92647-6809
Country : US
Telephone Number : 714-842-0601
Fax Number :
Provider Business Practice Location Address
First Line : 17732 BEACH BLVD
Second Line : SUITE A
City : HUNTINGTON BEACH
State : CA
Zip : 92647-6809
Country : US
Telephone Number : 714-842-0601
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KALVIN CHEN
Credential : DDS
Telephone Number : 714-842-0601
Provider Enumeration Date : 02/15/2008
Last Update Date : 02/15/2008

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Directions to “K. CHEN A P.C. ” Practice Location

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