Basic Information
Provider Information
NPI: 1538172044
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEN
FirstName: CAREN
MiddleName: HUI-MIN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 S ANAHEIM HILLS RD
Address2: #206
City: ANAHEIM HILLS
State: CA
PostalCode: 92807
CountryCode: US
TelephoneNumber: 7142826934
FaxNumber: 7142826935
Practice Location
Address1: 500 S ANAHEIM HILLS RD
Address2: #206
City: ANAHEIM HILLS
State: CA
PostalCode: 92807
CountryCode: US
TelephoneNumber: 7142826934
FaxNumber: 7142826935
Other Information
ProviderEnumerationDate: 08/14/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA65154CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home