MEDICARE: DR. JOHN 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	2084N0400X	Neurology Physician	G81195	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ZZZ78036Y	OTHER	CA	BLUE PROGRAMS

General Provider Information

NPI Number	:	1841210846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN W CHEN M.D.

Provider Business Mailing Address
First Line	:	2617 E CHAPMAN AVE STE 101
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92869-3251
Country	:	US
Telephone Number	:	714-202-0218
Fax Number	:	714-832-8233

Provider Business Practice Location Address
First Line	:	2617 E CHAPMAN AVE STE 101
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92869-3251
Country	:	US
Telephone Number	:	714-202-0218
Fax Number	:	714-832-8233

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	11/20/2025

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