| Mary Chen Md Inc | |
|
18780 Amar Rd Suite 107 Walnut CA 91789-4560 | |
| (626) 810-6777 | |
| (626) 810-6687 |
| Full Name | Mary Chen Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18780 Amar Rd, Walnut, California |
| Authorized Official Name and Position | Mary Chen (PRESIDENT) |
| Authorized Official Contact | 6268106777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Chen Md Inc 18780 Amar Rd Suite 107 Walnut CA 91789-4560 Ph: (626) 810-6777 | Mary Chen Md Inc 18780 Amar Rd Suite 107 Walnut CA 91789-4560 Ph: (626) 810-6777 |
| NPI Number | 1366591174 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 0749222636 |
|---|---|
| Medicare Enrollment ID | O20050601001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366591174 | NPI | - | NPPES |
| 00A782070 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A78207 (California) | Primary |
| Provider Name | Mary L Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568445229 PECOS PAC ID: 7416929898 Enrollment ID: I20040806000679 |
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