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Individual
JIAN A CHEN
Active
Individual
JIAN A CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G77775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G777750
BLUE SHIELD
CA
01
—
G77775
STATE OF CALIFORNIA
CA
Enumeration date
09/15/2005
Last updated
10/03/2023
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