Organization
CHARLIE CHEN, M.D., CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE CHEN MD (CEO)
(310) 210-9220
Entity
Organization
Contact information
Practice address
3399 1ST AVE, SAN DIEGO, CA 92103-5601
(858) 255-1538
Mailing address
11 BALCONY, IRVINE, CA 92603-4237
(310) 210-9220
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
11/30/2020
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