Provider Demographics
NPI:1194592923
Name:ANDREW S. CHEN, M.D., INC.
Entity type:Organization
Organization Name:ANDREW S. CHEN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-823-5220
Mailing Address - Street 1:14050 CHERRY AVE STE C
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-8312
Mailing Address - Country:US
Mailing Address - Phone:909-823-5220
Mailing Address - Fax:909-823-7650
Practice Address - Street 1:14050 CHERRY AVE STE C
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-8312
Practice Address - Country:US
Practice Address - Phone:909-823-5220
Practice Address - Fax:909-823-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty