Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A155042 | CA |
NPI | 1033573241 |
---|---|
Provider Name | Xin Chen |
First Address | Los Angeles, CA 90015-3071 |
Second Address | Los Angeles, CA 90015-3071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 10/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
XC3232267556 | (05) | CA |