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NPI Code Detail

MEDICARE: HELEN K CHEN MD

MEDICARE: HELEN 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
1174400000XSpecialistG70470CA
22085R0001XRadiation Oncology PhysicianG70470CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578546388
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN K CHEN MD
Provider Business Mailing Address
First Line : PO BOX 512185
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-0185
Country : US
Telephone Number : 626-775-3514
Fax Number : 626-218-5310
Provider Business Practice Location Address
First Line : 209 FAIR OAKS AVE
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-1814
Country : US
Telephone Number : 626-396-2900
Fax Number : 626-799-2889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 11/23/2020

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