Individual
EDWIN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 300, SAN DIEGO, CA 92130-3082
(858) 793-0093
Mailing address
12395 EL CAMINO REAL, SUITE 300, SAN DIEGO, CA 92130-3082
(858) 793-0093
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA08624900
NJ
207W00000X
Ophthalmology Physician
A101572
CA
207W00000X
Ophthalmology Physician
MD26595
OR
207W00000X
Ophthalmology Physician
Primary
MD437604
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08624900
LICENSE
NJ
01
—
MD437604
LICENSE
PA
Enumeration date
06/12/2006
Last updated
06/10/2010
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