Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A117432 | CA |
Y | 207YS0123X | Facial Plastic Surgeon | A117432 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | A117432 | CA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A117432 | CA |
NPI | 1447396601 |
---|---|
Provider Name | Dr. Henry Haipei Chen |
First Address | Los Angeles, CA 90048-6101 |
Second Address | Los Angeles, CA 90048-6101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 20/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03219830 | (05) | NY |