MEDICARE: VINCENT W. 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
1	207X00000X	Orthopaedic Surgery Physician	A86426	CA

General Provider Information

NPI Number	:	1831197284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT W. CHEN M.D

Provider Business Mailing Address
First Line	:	4760 W SUNSET BLVD
Second Line	:	DEPT. OF ORTHOPAEDICS
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6063
Country	:	US
Telephone Number	:	323-783-6806
Fax Number	:	323-783-8948

Provider Business Practice Location Address
First Line	:	4760 W SUNSET BLVD
Second Line	:	DEPT. OF ORTHOPAEDICS
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6063
Country	:	US
Telephone Number	:	323-783-6806
Fax Number	:	323-783-8948

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	11/29/2021

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