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Individual

BRYAN K CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10672 WEXFORD STREET, SUITE 205, SAN DIEGO, CA 92131-3974
(858) 693-3000
(858) 693-3700
Mailing address
10672 WEXFORD STREET, SUITE 205, SAN DIEGO, CA 92131-3974
(858) 693-3000
(858) 693-3700

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A79823
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A79823
CA
207ND0900X
Dermatopathology Physician
A79823
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
A79823
CA
207NP0225X
Pediatric Dermatology Physician
A79823
CA
207NS0135X
Procedural Dermatology Physician
A79823
CA

Other

Enumeration date
05/16/2006
Last updated
11/26/2008
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