Organization
DAVID C P CHEN, M.D., INC
Active
Other names
DIAGNOSTIC MEDICAL GROUP OF SOUTHER CALIFORNIA
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MA BILLING SUPERVISOR (BILLING SUPERVISOR)
(626) 282-2802
Entity
Organization
Contact information
Practice address
1129 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3114
(626) 282-2802
(626) 282-2202
Mailing address
1129 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3114
(626) 282-2802
(626) 282-2202
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0018480
—
CA
05
—
GR0018482
—
CA
05
—
GR0018483
—
CA
Enumeration date
01/15/2007
Last updated
05/07/2026
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