Organization
CHANG HWA MARY CHEN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG-HWA MARY CHEN M.D. (PRESIDENT)
(310) 829-8202
Entity
Organization
Contact information
Practice address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 533-6220
(714) 563-2891
Mailing address
PO BOX 1809, ORANGE, CA 92856-0809
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A855040
BLUE SHIELD
CA
05
—
00A855040
—
CA
Enumeration date
05/11/2007
Last updated
06/21/2023
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