Individual
YIJUN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, SUITE 214, LOS ANGELES, CA 90095-0001
(310) 794-7788
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A109682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285860023
—
CA
Enumeration date
06/08/2009
Last updated
12/23/2019
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