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NPI Code Detail

MEDICARE: DARYL M CHEN MD

MEDICARE: DARYL M CHEN MD
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
12085R0202XDiagnostic Radiology PhysicianA80307CA

General Provider Information

NPI Number : 1912989724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARYL M CHEN MD
Provider Business Mailing Address
First Line : 25825 VERMONT AVE
Second Line : KAISER SOUTH BAY MEDICAL CENTER, DIAGNOSTIC IMAGING
City : HARBOR CITY
State : CA
Zip : 90710-3518
Country : US
Telephone Number : 310-257-5859
Fax Number : 310-257-6193
Provider Business Practice Location Address
First Line : 25825 VERMONT AVE
Second Line : KAISER SOUTH BAY MEDICAL CENTER, DIAGNOSTIC IMAGING
City : HARBOR CITY
State : CA
Zip : 90710-3518
Country : US
Telephone Number : 310-257-5859
Fax Number : 310-257-6193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 11/29/2021

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