Andrew S. Chen, M.d., Inc. | |
14050 Cherry Ave Ste C Fontana CA 92337-8312 | |
(909) 823-5220 | |
(909) 823-7650 |
Full Name | Andrew S. Chen, M.d., Inc. |
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Speciality | Internal Medicine |
Location | 14050 Cherry Ave Ste C, Fontana, California |
Authorized Official Name and Position | Andrew S. Chen (PRESIDENT) |
Authorized Official Contact | 9098235220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Andrew S. Chen, M.d., Inc. 14050 Cherry Ave Ste C Fontana CA 92337-8312 Ph: (909) 823-5220 | Andrew S. Chen, M.d., Inc. 14050 Cherry Ave Ste C Fontana CA 92337-8312 Ph: (909) 823-5220 |
NPI Number | 1194592923 |
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Provider Enumeration Date | 12/12/2023 |
Last Update Date | 12/12/2023 |
Medicare PECOS PAC ID | 2567904782 |
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Medicare Enrollment ID | O20240604000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194592923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Andrew S Chen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053873646 PECOS PAC ID: 3678800281 Enrollment ID: I20240604000043 |
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