Individual
CHIA-CHEN CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
159 N CLARK ST, FRESNO, CA 93701-2108
(559) 266-5882
(559) 266-8311
Mailing address
159 N CLARK ST, FRESNO, CA 93701-2108
(559) 266-5882
(559) 266-8311
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A36500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A365000
—
CA
Enumeration date
11/22/2005
Last updated
08/23/2013
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