Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 53980 | CA |
N | 213EG0000X | General Practice | 53980 | CA |
Y | 1223X0400X | Orthodontists | 53980 | CA |
NPI | 1043389075 |
---|---|
Provider Name | Dr. James Jian Chen |
First Address | Daly City, CA 94014-2922 |
Second Address | Daly City, CA 94014-2922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 10/01/2014 |