Individual provider · NPI-1

Allan Chen, M.D.

· Roseville, CA

NPI number1174506406
StatusActive
Last updated in NPPESAug 29, 2012

Details

NPI
1174506406
Entity type
Individual (NPI-1)
Name
Allan Chen
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2005
Last updated
Aug 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X A76555CAYes

Practice location

504 Gibson Dr
Roseville, CA 95678-5799

Phone 916-771-2871 · Fax 916-771-2841

Mailing address

504 Gibson Dr
Roseville, CA 95678-5799

Phone 916-771-2871 · Fax 916-771-2841

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