Individual
WILLIAM K.Y. CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MEDICAL PLAZA DR STE 140, ROSEVILLE, CA 95661-2866
(916) 878-4940
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G57578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G57578
CA MEDICAL LICENSE
CA
01
—
ZZZ13841Z
MEDICARE ID ROSEVILLE
CA
01
—
ZZZ13842Z
MEDICARE ID CARMICHAEL
CA
01
—
ZZZ29516Z
MEDICARE ID - LINCOLN
CA
01
—
ZZZ43589Z
MEDICARE SUBMITTER ID
CA
Enumeration date
02/07/2007
Last updated
04/16/2020
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