MEDICARE: PAUL 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	2255R0406X	Blind Rehabilitation Specialist/Technologist	34688	CA

General Provider Information

NPI Number	:	1902731912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CHEN

Provider Business Mailing Address
First Line	:	507 W BENCAMP ST
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3718
Country	:	US
Telephone Number	:	626-782-1846
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 W BENCAMP ST
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3718
Country	:	US
Telephone Number	:	626-782-1846
Fax Number	:

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

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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Directions to “ PAUL CHEN ” Practice Location

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