Provider Demographics
NPI:1104123199
Name:JEN, CINDY CHEN (MD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:CHEN
Last Name:JEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2302
Mailing Address - Country:US
Mailing Address - Phone:949-923-3277
Mailing Address - Fax:855-812-5865
Practice Address - Street 1:10601 WALKER ST
Practice Address - Street 2:SUITE 250
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4733
Practice Address - Country:US
Practice Address - Phone:714-252-8311
Practice Address - Fax:714-252-8339
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2017-09-12
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Provider Licenses
StateLicense IDTaxonomies
CAA118356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB205335Medicare PIN