# ABRAHAM CHEN, D.O., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184621666
- **Authorized official:** DR. ABRAHAM CHEN D.O. (PRESIDENT)
- **Authorized official phone:** (909) 466-6310

## Contact information

- **Practice address:** 10995 EUCALYPTUS STREET, SUITE 102, RANCHO CUCAMONGA, CA 91730-7687
- **Practice address phone:** (909) 466-6310
- **Practice address fax:** (909) 466-6325
- **Mailing address:** 10995 EUCALYPTUS STREET, SUITE 102, RANCHO CUCAMONGA, CA 91730-7687
- **Mailing address phone:** (909) 466-6310
- **Mailing address fax:** (909) 466-6325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00AX78710 | — | CA |
| 01 | — | 20A7871 | CALIFORNIA LICENSE NUMBER | CA |