Basic Information
Provider Information
NPI: 1972711893
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEN
FirstName: FRANCINE
MiddleName: T
NamePrefix: MISS
NameSuffix:  
Credential: NP, APRN-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 W CARSON ST
Address2:  
City: TORRANCE
State: CA
PostalCode: 905022004
CountryCode: US
TelephoneNumber: 3232262170
FaxNumber: 3232265760
Practice Location
Address1: 1200 N STATE ST
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900331029
CountryCode: US
TelephoneNumber: 3232262170
FaxNumber: 3232265760
Other Information
ProviderEnumerationDate: 05/21/2007
LastUpdateDate: 11/30/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X16678CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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