| Charlie Chen, M.d., Corp. | |
|
3399 1st Ave San Diego CA 92103-5601 | |
| (858) 255-1538 | |
| Not Available |
| Full Name | Charlie Chen, M.d., Corp. |
|---|---|
| Speciality | Clinic/center |
| Location | 3399 1st Ave, San Diego, California |
| Authorized Official Name and Position | Charlie Chen (CEO) |
| Authorized Official Contact | 3102109220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlie Chen, M.d., Corp. 11 Balcony Irvine CA 92603-4237 Ph: (310) 210-9220 | Charlie Chen, M.d., Corp. 3399 1st Ave San Diego CA 92103-5601 Ph: (858) 255-1538 |
| NPI Number | 1740844745 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 11/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740844745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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