Provider Demographics
NPI:1396236527
Name:CHEN, BENJAMIN C (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:C
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DIVISION OF INFECTIOUS DISEASES
Mailing Address - Street 2:11234 ANDERSON STREET MC 1503
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2804
Mailing Address - Country:US
Mailing Address - Phone:909-558-5945
Mailing Address - Fax:909-558-0490
Practice Address - Street 1:DIVISION OF INFECTIOUS DISEASES
Practice Address - Street 2:11234 ANDERSON STREET MC 1503
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2804
Practice Address - Country:US
Practice Address - Phone:909-558-5945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAR-11134207R00000X
CAA174229207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine