Provider Demographics
NPI:1588691513
Name:CHEN, ERICK (ATC)
Entity type:Individual
Prefix:
First Name:ERICK
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 GRANDEZA ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-2120
Mailing Address - Country:US
Mailing Address - Phone:626-379-9899
Mailing Address - Fax:
Practice Address - Street 1:1111 FIGUEROA PL
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-2311
Practice Address - Country:US
Practice Address - Phone:310-233-4121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer