Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E5196 | CA |
NPI | 1033506142 |
---|---|
Provider Name | Dr. Jennifer See-Wah Chen |
First Address | Glendora, CA 91740-4837 |
Second Address | Glendora, CA 91740-4837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2015 |
Last Update Date | 13/02/2017 |