Individual
JANA F CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4143 RIVERSIDE DR, STE C, CHINO, CA 91710-3126
(909) 591-5438
(909) 591-5432
Mailing address
4143 RIVERSIDE DR, C, CHINO, CA 91710-3126
(909) 591-5438
(909) 591-5432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11618TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174696652
—
CA
Enumeration date
11/15/2006
Last updated
09/01/2009
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