Basic Information
| Provider Information | |||||||||
| NPI: | 1053621730 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHEN | ||||||||
| FirstName: | ISABELLA | ||||||||
| MiddleName: | GENEVA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 S VICTORIA AVE, L4615 | ||||||||
| Address2: | VCHCA - PHYSICIAN SERVICES | ||||||||
| City: | VENTURA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930090003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056775181 | ||||||||
| FaxNumber: | 8056775304 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 HILLMONT AVE | ||||||||
| Address2: | BLDG 340, STE 501 | ||||||||
| City: | VENTURA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056526218 | ||||||||
| FaxNumber: | 8056526512 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2010 | ||||||||
| LastUpdateDate: | 09/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0000X | A118096 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RX0202X | A118096 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | A118096 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.