Individual
DR. JERRICA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13652 CANTARA ST, DEPARTMENT OF EMERGENCY MEDICINE, PANORAMA CITY, CA 91402-5423
(818) 375-2013
Mailing address
13652 CANTARA ST, DEPARTMENT OF EMERGENCY MEDICINE, PANORAMA CITY, CA 91402-5423
(818) 375-2013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
233844
NY
207P00000X
Emergency Medicine Physician
Primary
C54289
CA
2085U0001X
Diagnostic Ultrasound Physician
233844
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663867
—
NY
Enumeration date
12/14/2005
Last updated
11/29/2021
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