1427250588 NPI number — DR. JAMES YEN-YU CHEN M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427250588 NPI number — DR. JAMES YEN-YU CHEN M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

CHEN

Provider First Name:

JAMES

Provider Middle Name:

YEN-YU

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1427250588

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/10/2018

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 232410

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SAN DIEGO

Provider Business Mailing Address State Name:

CA

Provider Business Mailing Address Postal Code:

92193-2410

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

200 W ARBOR DR

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

SAN DIEGO

Provider Business Practice Location Address State Name:

CA

Provider Business Practice Location Address Postal Code:

92103

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

619-543-2218

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

06/01/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2085N0700X , with the licence number:  A108635 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 23-1955165 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 23-1955165 . This is a "INTERGROUP SERVICES" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 30043061 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 38133MD431270 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: P00401161 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 1969269 . This is a "PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 9475020 . This is a "PHCS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 101930777-0001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 20067678 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 2850090000 . This is a "IBC / KHPE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".