| Chen And Lee A Professional Medical Corp | |
|
13768 Roswell Ave Ste 121 Chino CA 91710-1404 | |
| (626) 463-8162 | |
| Not Available |
| Full Name | Chen And Lee A Professional Medical Corp |
|---|---|
| Speciality | General Practice |
| Location | 13768 Roswell Ave Ste 121, Chino, California |
| Authorized Official Name and Position | Daniel C Chen (OWNER) |
| Authorized Official Contact | 6264638162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chen And Lee A Professional Medical Corp 1542 High Bluff Dr Diamond Bar CA 91765-2630 Ph: () - | Chen And Lee A Professional Medical Corp 13768 Roswell Ave Ste 121 Chino CA 91710-1404 Ph: (626) 463-8162 |
| NPI Number | 1689266165 |
|---|---|
| Provider Enumeration Date | 02/06/2021 |
| Last Update Date | 02/06/2021 |
| Medicare PECOS PAC ID | 5799138236 |
|---|---|
| Medicare Enrollment ID | O20240131002450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689266165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Daniel Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972899847 PECOS PAC ID: 8022490978 Enrollment ID: I20240131002629 |
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