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NPI Code Detail

MEDICARE: DR. JAMES CHEN M.D.

MEDICARE: DR. JAMES CHEN M.D.
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
1174400000XSpecialistC39123CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C39123OTHERCASTATE LICENSE NUMBER

General Provider Information

NPI Number : 1609013440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES CHEN M.D.
Provider Business Mailing Address
First Line : 923 S SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-2743
Country : US
Telephone Number : 626-286-8700
Fax Number : 626-286-8650
Provider Business Practice Location Address
First Line : 923 S SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-2743
Country : US
Telephone Number : 626-286-8700
Fax Number : 626-286-8650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2009
Last Update Date : 03/07/2023

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