Individual
GINA H CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Mailing address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.099926
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.099926
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A91042
CA
207RP1001X
Pulmonary Disease Physician
35.099926
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35.099926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073821
—
OH
Enumeration date
07/17/2006
Last updated
11/01/2013
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