Individual provider · NPI-1
Dr. Mary Chen, M.D.
Internal Medicine · Walnut, CA
NPI number1568445229
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1568445229
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Chen
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 26, 2005
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A78207 | CA | Yes |
| 207Q00000X | Family Medicine | A78207 | CA |
Other names
- Lei Chen (Former Name)
Practice location
18780 Amar RdSuite 107
Walnut, CA 91789-4560
Phone 626-810-6777 · Fax 626-810-6687
Mailing address
18780 Amar RdSuite 107
Walnut, CA 91789-4560
Phone 626-810-6777 · Fax 626-810-6687
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