Individual
DR. CARL C CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2141 N HARBOR BLVD, SUITE 35000, FULLERTON, CA 92835-3827
(714) 626-8630
(714) 626-8659
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4841
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A30781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A307810
—
CA
Enumeration date
12/15/2005
Last updated
01/18/2011
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