1932342128 NPI number — TOMMY H.CHEN ,MD.,INCORPORATION

Table of content: SARAH HEIBER L.AC, M.AC, M.ED (NPI 1487068193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932342128 NPI number — TOMMY H.CHEN ,MD.,INCORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOMMY H.CHEN ,MD.,INCORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1932342128
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 BELLEFONTAINE ST
Provider Second Line Business Mailing Address:
# 301
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91105-3132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-793-4857
Provider Business Mailing Address Fax Number:
626-793-8812

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12522 LAMBERT RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
WHITTIER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90606-2758
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-789-8886
Provider Business Practice Location Address Fax Number:
562-789-8812
Provider Enumeration Date:
04/17/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CHEN
Authorized Official First Name:
TOMMY
Authorized Official Middle Name:
H
Authorized Official Title or Position:
MEDICAL DIRECT
Authorized Official Telephone Number:
626-793-4857

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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