Individual
JOHN C. CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5849
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G66881
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD-10805
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000218388
HMSA BILLING NUMBER
HI
05
—
506264-01
—
HI
Enumeration date
10/09/2006
Last updated
10/12/2022
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