Dr. Su Chen, Md | |
4880 Huntington Dr S Los Angeles CA 90032-1945 | |
(713) 409-7310 | |
Not Available |
Full Name | Dr. Su Chen, Md |
---|---|
Speciality | Clinic/Center |
Location | 4880 Huntington Dr S, Los Angeles, California |
Authorized Official Name and Position | Su Chen (OWNER) |
Authorized Official Contact | 7134097310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Su Chen, Md 4880 Huntington Dr S Los Angeles CA 90032-1945 Ph: (713) 409-7310 | Dr. Su Chen, Md 4880 Huntington Dr S Los Angeles CA 90032-1945 Ph: (713) 409-7310 |
NPI Number | 1932857448 |
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Provider Enumeration Date | 03/14/2022 |
Last Update Date | 11/22/2022 |
Medicare PECOS PAC ID | 1254725377 |
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Medicare Enrollment ID | O20220304001998 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932857448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Su Chen |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1720162167 PECOS PAC ID: 2567564701 Enrollment ID: I20220304001973 |
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