Organization
CARL C. CHEN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL C. CHEN M.D. (OWNER)
(714) 773-0111
Entity
Organization
Contact information
Practice address
301 W BASTANCHURY RD, SUITE 140, FULLERTON, CA 92835-3419
(714) 773-0111
(714) 773-5518
Mailing address
301 W BASTANCHURY RD, SUITE 140, FULLERTON, CA 92835-3419
(714) 773-0111
(714) 773-5518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A30781
CA
Other
Enumeration date
09/21/2007
Last updated
11/25/2009
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