Individual
DR. DERYIEN NORIE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 CEDAR RD # 100, VISTA, CA 92083-5102
(760) 806-5400
Mailing address
10170 SORRENTO VALLEY RD, MAIL DROP SV-5, SAN DIEGO, CA 92121-1604
(858) 784-5888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A48712
CA
207Q00000X
Family Medicine Physician
Primary
A48712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A487120
—
CA
01
—
162-536-7
ECFMG
—
Enumeration date
07/27/2006
Last updated
04/08/2013
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