Individual
CONNIE Y CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
607 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
(323) 268-9191
(323) 268-9119
Mailing address
400 S DETROIT ST APT 108, LOS ANGELES, CA 90036-3546
(510) 853-1596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52334
CA
Other
Enumeration date
07/17/2015
Last updated
04/27/2018
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