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Individual

JEFF TAI LI CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DR

Contact information

Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-2500
Mailing address
4301 NORTH STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 342-2300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A90900
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A909000
CA
Enumeration date
02/27/2006
Last updated
09/17/2012
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