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NPI Code Detail

MEDICARE: MICHELLE K CHEN MD

MEDICARE: MICHELLE K 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
1207L00000XAnesthesiology PhysicianA78002CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A78002OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1528098399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE K CHEN MD
Provider Business Mailing Address
First Line : PO BOX 969096
Second Line :
City : SAN DIEGO
State : CA
Zip : 92196-9096
Country : US
Telephone Number : 858-495-0971
Fax Number : 858-495-0991
Provider Business Practice Location Address
First Line : 3630 E IMPERIAL HWY
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-2609
Country : US
Telephone Number : 310-900-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/21/2017

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