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Individual

MRS. ANNIE CHEN JENG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7138 VAN NUYS BLVD, VAN NUYS, CA 91405-3005
(818) 778-6240
(818) 994-8005
Mailing address
1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
(818) 898-1388
(818) 365-4031

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A066990
CA

Other

Enumeration date
08/02/2005
Last updated
07/08/2007
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