Individual
DR. BEIRU J. CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2291 W MARCH LN, SUITE 179E, STOCKTON, CA 95207-6652
(209) 477-4432
(209) 320-6136
Mailing address
PO BOX 77800, STOCKTON, CA 95267-1100
(209) 477-4432
(209) 320-6136
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
C51848
CA
207ZC0500X
Cytopathology Physician
C51848
CA
207ZD0900X
Dermatopathology (Pathology) Physician
C51848
CA
207ZH0000X
Hematology (Pathology) Physician
C51848
CA
207ZI0100X
Immunopathology Physician
C51848
CA
207ZM0300X
Medical Microbiology Physician
C51848
CA
207ZN0500X
Neuropathology Physician
C51848
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C51848
CA
207ZP0104X
Chemical Pathology Physician
C51848
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
C51848
CA
207ZP0213X
Pediatric Pathology Physician
C51848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP693
MEDICARE PTAN
CA
05
—
LAB09388F
—
CA
01
—
P00706349
MEDICARE RAILROAD PTAN
CA
Enumeration date
05/02/2007
Last updated
06/23/2009
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