Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | A104327 | CA |
N | 207RH0003X | Hematology & Oncology | A104327 | CA |
NPI | 1083751358 |
---|---|
Provider Name | Robert Chen |
First Address | Los Angeles, CA 90039-4021 |
Second Address | Los Angeles, CA 90039-4021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 02/01/2019 |