Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 20A10239 | CA |
N | 204C00000X | Sports Medicine Doctor | 231612 | NY |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A10239 | CA |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 231612 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 20A10239 | CA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 231612 | NY |
N | 2081P2900X | Pain Medicine | 20A10239 | CA |
N | 2081P2900X | Pain Medicine | 231612 | NY |
N | 2081S0010X | Sports Medicine | 231612 | NY |
N | 213ES0000X | Sports Medicine | 231612 | NY |
NPI | 1588875769 |
---|---|
Provider Name | Dr. Ching Chen |
First Address | San Diego, CA 92106-2166 |
Second Address | San Diego, CA 92108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2007 |
Last Update Date | 18/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275PM1 | (02) | NY |