Organization
COLDWATER ANESTHESIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEN TER CHEN M.D. (PRESIDENT)
(626) 979-9371
Entity
Organization
Contact information
Practice address
100 S RAYMOND AVE, ALHAMBRA, CA 91801-3166
(626) 570-1606
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A356520
BLUE SHIELD
CA
05
—
00A356520
—
CA
Enumeration date
08/05/2006
Last updated
06/17/2008
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