Individual
DR. BENJAMIN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 SAN PABLO ST, LOS ANGELES, CA 90033-5320
(323) 442-5910
(323) 442-6020
Mailing address
1510 SAN PABLO ST, LOS ANGELES, CA 90033-5320
(323) 442-5910
(323) 442-6020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A97617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A976170
BLUE SHIELD PROVIDER #
CA
05
—
1336377530
—
CA
Enumeration date
06/25/2009
Last updated
02/10/2022
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