| Emery L. Chen, M.d., A Medical Corporation | |
|
1658 W Avenue J Lancaster CA 93534-2814 | |
| (661) 942-6565 | |
| (661) 940-1066 |
| Full Name | Emery L. Chen, M.d., A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1658 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Emery Chen (PRESIDENT) |
| Authorized Official Contact | 6619426565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emery L. Chen, M.d., A Medical Corporation 1658 W Avenue J Lancaster CA 93534-2814 Ph: (661) 942-6565 | Emery L. Chen, M.d., A Medical Corporation 1658 W Avenue J Lancaster CA 93534-2814 Ph: (661) 942-6565 |
| NPI Number | 1710320429 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 04/11/2013 |
| Medicare PECOS PAC ID | 1759527419 |
|---|---|
| Medicare Enrollment ID | O20130424001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710320429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A82839 (California) | Primary |
| Provider Name | Emery L. Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922201763 PECOS PAC ID: 3678669421 Enrollment ID: I20130429000537 |
| Provider Name | Karina Razo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942745427 PECOS PAC ID: 0244515898 Enrollment ID: I20170321002343 |
| Provider Name | Sonia G Madrigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982138491 PECOS PAC ID: 0941577985 Enrollment ID: I20170523002840 |
| Provider Name | Carmen Elena Schiltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396270542 PECOS PAC ID: 4486087335 Enrollment ID: I20191206000288 |
| Provider Name | Farees R Tavangari |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1194160168 PECOS PAC ID: 7517276058 Enrollment ID: I20211115001889 |
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