Provider Demographics
NPI:1194898239
Name:CHEN, PING (DOM)
Entity type:Individual
Prefix:MS
First Name:PING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
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Mailing Address - Street 1:6601 SONRISA PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2830
Mailing Address - Country:US
Mailing Address - Phone:505-615-3999
Mailing Address - Fax:505-828-1617
Practice Address - Street 1:4775 INDIAN SCHOOL RD NE STE 100
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3927
Practice Address - Country:US
Practice Address - Phone:505-888-6700
Practice Address - Fax:505-888-6701
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM655171100000X
OH65-000055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist