Individual
CHUNG QUAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W STETSON AVE, SUITE B, HEMET, CA 92543-7311
(951) 537-6002
Mailing address
890 W STETSON AVE, SUITE B, HEMET, CA 92543-7311
(951) 537-6002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A32875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A328750
—
CA
01
—
00A328752
MEDICARE PTAN
CA
01
—
00A328753
MEDICARE PTAN
CA
01
—
300049524
RAILROAD MEDICARE
CA
01
—
300049623
RAILROAD MEDICARE
CA
Enumeration date
06/15/2006
Last updated
02/27/2013
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