Individual
DR. JOHNNY C. CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E CHURCH ST, MARIAN REGIONAL MEDICAL CENTER DEPT OF ANESTHESIOLOGY, SANTA MARIA, CA 93454-5906
(803) 739-3000
(805) 739-3716
Mailing address
937 E MAIN ST, SUITE 201, SANTA MARIA, CA 93454-5909
(805) 922-1739
(805) 922-4197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A106527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1065270
BLUE SHIELD FEDERAL
CA
01
—
0A1065270
BLUE SHIELD OF CA
CA
01
—
1225286479
BLUE CROSS OF CA
CA
05
—
1225286479
—
CA
Enumeration date
08/29/2008
Last updated
02/26/2014
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