Individual
XI CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-6724
Mailing address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-6724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
274372
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A139103
CA
Other
Enumeration date
04/01/2014
Last updated
04/12/2022
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