Individual
DR. CHIENWEI TIMOTHY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4050 BARRANCA PKWY, SUITE 200, IRVINE, CA 92604-7706
(949) 551-1090
(949) 262-5500
Mailing address
17360 BROOKHURST ST, ATTN: MCMF CREDENTIALING DEPT., FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A79035
CA
Other
Enumeration date
10/26/2005
Last updated
10/13/2015
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