Individual
ETHAN WESLEY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24887 TAYLOR ST # 202, LOMA LINDA, CA 92350-0225
(909) 558-6131
Mailing address
1000 W CARSON ST # 400, TORRANCE, CA 90502-2059
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C187759
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
01/06/2025
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