Organization
PATRICK CHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CHU-SHIAN CHEN M.D. (ASSOCIATE MEDICAL DIRECTOR)
(415) 595-9067
Entity
Organization
Contact information
Practice address
1550 SUPERIOR AVE, COSTA MESA, CA 92627-3653
(949) 650-0640
Mailing address
1550 SUPERIOR AVE, COSTA MESA, CA 92627-3653
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A88391
CA
Other
Enumeration date
01/22/2007
Last updated
06/17/2008
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