Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A106034 | CA |
NPI | 1043465545 |
---|---|
Provider Name | Dr. Cynthia Lea Chen |
First Address | San Francisco, CA 94115-3011 |
Second Address | San Francisco, CA 94115-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 24/01/2022 |