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Organization
CANDICE S CHEN PC
Active
Organization
CANDICE S CHEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDICE S CHEN M.D. (PRESIDENT)
(310) 828-7494
Entity
Organization
Contact information
Practice address
1301 20TH ST, SUITE #250, SANTA MONICA, CA 90404-2050
(310) 828-7494
(310) 315-0290
Mailing address
1301 20TH ST, SUITE #250, SANTA MONICA, CA 90404-2050
(310) 828-7494
(310) 315-0290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A86120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518038231
PERSONAL NPI NUMBER
—
Enumeration date
05/24/2007
Last updated
04/19/2010
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