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Organization
ABRAHAM CHEN, D.O., INC
Active
Organization
ABRAHAM CHEN, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM CHEN D.O. (PRESIDENT)
(909) 466-6310
Entity
Organization
Contact information
Practice address
10995 EUCALYPTUS STREET, SUITE 102, RANCHO CUCAMONGA, CA 91730-7687
(909) 466-6310
(909) 466-6325
Mailing address
10995 EUCALYPTUS STREET, SUITE 102, RANCHO CUCAMONGA, CA 91730-7687
(909) 466-6310
(909) 466-6325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX78710
—
CA
01
—
20A7871
CALIFORNIA LICENSE NUMBER
CA
Enumeration date
06/30/2005
Last updated
03/07/2023
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