Individual
GEORGE D CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 S HAM LN, SUITE A, LODI, CA 95242-3528
(209) 334-5886
(209) 334-5281
Mailing address
521 S HAM LN, SUITE A, LODI, CA 95242-3528
(209) 334-5886
(209) 334-5281
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G11125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G111250
—
CA
Enumeration date
08/25/2006
Last updated
06/03/2008
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