Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A118096 | CA |
Y | 111NI0900X | Internist | A118096 | CA |
N | 207RH0000X | Hematologist | A118096 | CA |
N | 207RX0202X | Medical Oncology | A118096 | CA |
NPI | 1053621730 |
---|---|
Provider Name | Isabella Geneva Chen |
First Address | Ventura, CA 93009-0003 |
Second Address | Ventura, CA 93003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 26/09/2019 |