# CHING CHEN M D INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NONE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083904254
- **Authorized official:** MRS. CHING HSIU CHEN M D (PHD)
- **Authorized official phone:** (626) 810-5601

## Contact information

- **Practice address:** 17170 COLIMA RD, SUITE \#E, HACIENDA HEIGHTS, CA 91745-6771
- **Practice address phone:** (626) 810-5601
- **Practice address fax:** (626) 810-2556
- **Mailing address:** 17170 COLIMA RD, SUITE \#E, HACIENDA HEIGHTS, CA 91745-6771
- **Mailing address phone:** (626) 810-5601
- **Mailing address fax:** (626) 810-2556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G65094 | CA | Yes |

## Other

- **Enumeration date:** 04/08/2011
- **Last updated:** 04/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G650940 | — | CA |