Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A110960 | CA |
Y | 2080P0214X | Pediatric Pulmonologist | A110960 | CA |
NPI | 1497078802 |
---|---|
Provider Name | Diana Ying-Chieh Chen |
First Address | Palo Alto, CA 94304-1523 |
Second Address | Palo Alto, CA 94304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2010 |
Last Update Date | 28/10/2019 |