Provider Demographics
NPI:1063405892
Name:CHEN, PAI-HSIANG (DO)
Entity type:Individual
Prefix:
First Name:PAI-HSIANG
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:604 N SANTA ANITA AVE
Mailing Address - Street 2:# B
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2722
Mailing Address - Country:US
Mailing Address - Phone:626-446-2360
Mailing Address - Fax:626-446-2370
Practice Address - Street 1:301 W HUNTINGTON DR
Practice Address - Street 2:SUITE 310
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-3462
Practice Address - Country:US
Practice Address - Phone:626-446-2360
Practice Address - Fax:626-446-2370
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2017-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A7219207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH19224Medicare UPIN