MEDICARE: DR. JOSHUA CHIA-HWA CHEN D.O.

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	207RI0200X	Infectious Disease Physician	20A16292	CA

General Provider Information

NPI Number	:	1750745873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA CHIA-HWA CHEN D.O.

Provider Business Mailing Address
First Line	:	320 SUPERIOR AVE STE 370
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-2795
Country	:	US
Telephone Number	:	949-515-3590
Fax Number	:	562-232-3728

Provider Business Practice Location Address
First Line	:	320 SUPERIOR AVE STE 370
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-2795
Country	:	US
Telephone Number	:	949-515-3590
Fax Number	:	562-232-3728

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

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	08/19/2022

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