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Individual

DR. CHARLENE CHEN

Active
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Individual

DR. CHARLENE CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A96458
CA
2084V0102X
Vascular Neurology Physician
Primary
A96458
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A869820
CA
01
A96458
STATE MEDICAL LICENSE
CA
Enumeration date
10/03/2007
Last updated
10/17/2019
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