# HAI-SOU CHEN, DDS, A PROFESSIONAL CORP.

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

## Provider details

- **NPI number:** 1720276397
- **Authorized official:** DR. HAI-SOU CHEN D.D.S. (CEO)
- **Authorized official phone:** (626) 573-5637

## Contact information

- **Practice address:** 301 W VALLEY BLVD STE 222, SAN GABRIEL, CA 91776-3759
- **Practice address phone:** (626) 573-5637
- **Practice address fax:** (626) 308-9659
- **Mailing address:** 301 W VALLEY BLVD STE 222, SAN GABRIEL, CA 91776-3759
- **Mailing address phone:** (626) 573-5637
- **Mailing address fax:** (626) 308-9659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 29230 | CA | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007