Individual
JERRY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
15 BAY LNDG, SAN MATEO, CA 94401-2000
(801) 835-8102
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
204250
CA
2084N0400X
Neurology Physician
Primary
204250
CA
Other
Enumeration date
03/01/2020
Last updated
07/31/2025
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