Provider Demographics
NPI:1528079076
Name:CHEN, ALBERT C (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:C
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3440 LOMITA BLVD STE 346
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4820
Mailing Address - Country:US
Mailing Address - Phone:310-325-1198
Mailing Address - Fax:310-325-1699
Practice Address - Street 1:3440 LOMITA BLVD STE 346
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4820
Practice Address - Country:US
Practice Address - Phone:310-325-1198
Practice Address - Fax:310-325-1699
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG55751207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G557511Medicaid
CAG55751Medicare ID - Type Unspecified
CA00G557511Medicaid