MEDICARE: WEI KUO CHEN DDS

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	1223G0001X	General Practice Dentistry	56660	CA

General Provider Information

NPI Number	:	1841451606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEI KUO CHEN DDS

Provider Business Mailing Address
First Line	:	5211 PACIFIC CONCOURSE DR
Second Line	:	APT 1358
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-6917
Country	:	US
Telephone Number	:	424-901-9699
Fax Number	:

Provider Business Practice Location Address
First Line	:	5211 PACIFIC CONCOURSE DR
Second Line	:	APT 1358
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-6917
Country	:	US
Telephone Number	:	424-901-9699
Fax Number	:

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

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	06/24/2008

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