Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A126433 | CA |
NPI | 1114284478 |
---|---|
Provider Name | Dr. Yi-Ren Chen |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Sacramento, CA 95819-3637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2012 |
Last Update Date | 25/07/2019 |