Individual
SU SIN CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4880 HUNTINGTON DR S, LOS ANGELES, CA 90032-1945
(323) 826-7388
(323) 826-7128
Mailing address
918 N STONEMAN AVE APT D, ALHAMBRA, CA 91801-1428
(713) 409-7310
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
C56122
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C56122
CA
208D00000X
General Practice Physician
Primary
C56122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194308601
—
TX
01
—
8U6104
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
11/22/2022
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