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Individual

DR. JANET CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D,

Contact information

Practice address
921 OAK PARK BLVD, SUITE 201B, PISMO BEACH, CA 93449-3264
(805) 489-8286
(805) 489-7376
Mailing address
921 OAK PARK BLVD, SUITE 201B, PISMO BEACH, CA 93449-3264
(805) 489-8286
(805) 489-7376

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G69459
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
G69459
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G694590
CA
01
180032550
RAILROAD MEDICARE
CA
Enumeration date
04/04/2006
Last updated
07/06/2017
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