MEDICARE: MENG 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
1	171100000X	Acupuncturist	AC14616	CA

General Provider Information

NPI Number	:	1629328653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENG CHEN

Provider Business Mailing Address
First Line	:	1205 N EUCLID ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1954
Country	:	US
Telephone Number	:	949-266-4877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 N. EUCILD ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801
Country	:	US
Telephone Number	:	949-266-4877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	09/18/2012

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Directions to “ MENG CHEN ” Practice Location

Language	Start Address	Practice Location

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