Basic Information
Provider Information
NPI: 1881772887
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEN
FirstName: MAY
MiddleName: SHU
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26522 LA ALAMEDA
Address2: SUITE 120
City: MISSION VIEJO
State: CA
PostalCode: 926916330
CountryCode: US
TelephoneNumber: 9492821671
FaxNumber: 9493670518
Practice Location
Address1: 26800 CROWN VALLEY PKWY
Address2: SUITE 250
City: MISSION VIEJO
State: CA
PostalCode: 926916384
CountryCode: US
TelephoneNumber: 9493640644
FaxNumber: 9493641520
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 01/23/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XG78591CAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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