Hsiao-fen Chen Md Inc | |
140 W Valley Blvd Suite 220 San Gabriel CA 91776-3760 | |
(626) 307-0797 | |
(626) 307-0805 |
Full Name | Hsiao-fen Chen Md Inc |
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Speciality | Family Medicine |
Location | 140 W Valley Blvd, San Gabriel, California |
Authorized Official Name and Position | Hsiao-fen Chen (OWNER) |
Authorized Official Contact | 6263070797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hsiao-fen Chen Md Inc Po Box 798 Rosemead CA 91770-0798 Ph: (626) 307-0797 | Hsiao-fen Chen Md Inc 140 W Valley Blvd Suite 220 San Gabriel CA 91776-3760 Ph: (626) 307-0797 |
NPI Number | 1902844517 |
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Provider Enumeration Date | 06/04/2006 |
Last Update Date | 01/23/2023 |
Medicare PECOS PAC ID | 9638109796 |
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Medicare Enrollment ID | O20050817001237 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902844517 | NPI | - | NPPES |
GR0103020 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A54242 (California) | Primary |
Provider Name | Michael N Lam |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1528184587 PECOS PAC ID: 6305856964 Enrollment ID: I20060426000591 |
Provider Name | Hsiao Fen Chen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366483497 PECOS PAC ID: 4082626379 Enrollment ID: I20100421000460 |
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Super Care Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 E Valley Blvd, San Gabriel, CA 91776 Phone: 626-572-3088 Fax: 626-572-3688 | |
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