Individual
CANDICE S. CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 STEIN PLZ, 1-340, LOS ANGELES, CA 90095-0001
(310) 825-5000
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5655
(310) 825-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A86120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A861200
—
CA
Enumeration date
11/13/2006
Last updated
06/22/2010
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