Individual
KAISER L CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
550 CHELSEA WAY, CORONA, CA 92879-5880
(951) 818-5679
Mailing address
550 CHELSEA WAY, CORONA, CA 92879-5880
(951) 818-5679
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95033663
CA
364SA2200X
Adult Health Clinical Nurse Specialist
4211
CA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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