| Xinke Chen Md, Inc. | |
|
770 Magnolia Ave Ste 2g Corona CA 92879-3122 | |
| (951) 907-5386 | |
| (951) 371-5681 |
| Full Name | Xinke Chen Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 770 Magnolia Ave Ste 2g, Corona, California |
| Authorized Official Name and Position | Xinke Chen (PRESIDENT) |
| Authorized Official Contact | 9513715681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xinke Chen Md, Inc. Po Box 77790 Corona CA 92877-0126 Ph: (951) 907-5386 | Xinke Chen Md, Inc. 770 Magnolia Ave Ste 2g Corona CA 92879-3122 Ph: (951) 907-5386 |
| NPI Number | 1356670905 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 10/20/2021 |
| Medicare PECOS PAC ID | 7416086640 |
|---|---|
| Medicare Enrollment ID | O20100527000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356670905 | NPI | - | NPPES |
| 1356670905 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A86771 (California) | Primary |
| Provider Name | Xinke Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780634857 PECOS PAC ID: 7810949237 Enrollment ID: I20050214000971 |
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