1427316009 NPI number — MS. EDITHA DELA CRUZ CHEN LVN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427316009 NPI number — MS. EDITHA DELA CRUZ CHEN LVN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHEN
Provider First Name:
EDITHA
Provider Middle Name:
DELA CRUZ
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LVN
Provider Gender Code:
F

Provider's Other Name Information

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 Information

NPI Number:
1427316009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15723 PARKHOUSE DR
Provider Second Line Business Mailing Address:
UNIT 104
Provider Business Mailing Address City Name:
FONTANA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92336-6516
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-905-9682
Provider Business Mailing Address Fax Number:
909-320-8348

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15723 PARKHOUSE DR
Provider Second Line Business Practice Location Address:
UNIT 104
Provider Business Practice Location Address City Name:
FONTANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92336-6516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-905-9682
Provider Business Practice Location Address Fax Number:
909-320-8348
Provider Enumeration Date:
05/02/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164X00000X , with the licence number:  VN 189740 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)