| Kuancheng Chen Md Corp | |
|
622 W Duarte Rd Ste 205 Arcadia CA 91007-9275 | |
| (626) 821-9075 | |
| (626) 821-9076 |
| Full Name | Kuancheng Chen Md Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 622 W Duarte Rd Ste 205, Arcadia, California |
| Authorized Official Name and Position | Kuan Cheng Chen (OWNER) |
| Authorized Official Contact | 6268219075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuancheng Chen Md Corp 622 W Duarte Rd Ste 306 Arcadia CA 91007-9282 Ph: (626) 821-9075 | Kuancheng Chen Md Corp 622 W Duarte Rd Ste 205 Arcadia CA 91007-9275 Ph: (626) 821-9075 |
| NPI Number | 1588978936 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 8325163553 |
|---|---|
| Medicare Enrollment ID | O20100913000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588978936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G75056 (California) | Primary |
| Provider Name | Kuan Cheng Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235125790 PECOS PAC ID: 2163547308 Enrollment ID: I20100913000292 |
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