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NPI Code Detail

MEDICARE: DAVID C P CHEN

MEDICARE:   DAVID C P CHEN
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
12085R0202XDiagnostic Radiology PhysicianA39713CA

General Provider Information

NPI Number : 1629006895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C P CHEN
Provider Business Mailing Address
First Line : 1129 S SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-3114
Country : US
Telephone Number : 626-282-2802
Fax Number : 626-282-2202
Provider Business Practice Location Address
First Line : 1129 S SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-3114
Country : US
Telephone Number : 626-282-2802
Fax Number : 626-282-2202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 02/12/2015

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Directions to “ DAVID C P CHEN ” Practice Location

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