Individual
KEVIN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 533-6220
Mailing address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 533-6220
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A156959
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
07/06/2020
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