MEDICARE: MRS. HUNG-WEN 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	AC 10285	CA
2	225100000X	Physical Therapist	PT 32960	CA

General Provider Information

NPI Number	:	1891837100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HUNG-WEN CHEN

Provider Business Mailing Address
First Line	:	28 CEDARBROOK
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-1265
Country	:	US
Telephone Number	:	714-495-8059
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 BROOKHOLLOW DR STE 30
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5427
Country	:	US
Telephone Number	:	714-495-8059
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	05/09/2023

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Directions to “ MRS. HUNG-WEN CHEN ” Practice Location

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