Provider Demographics
NPI:1720180946
Name:CHEN, TERENCE LING (MD)
Entity type:Individual
Prefix:
First Name:TERENCE
Middle Name:LING
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:122 LA CASA VIA STE 222
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3014
Mailing Address - Country:US
Mailing Address - Phone:925-937-0404
Mailing Address - Fax:925-937-1340
Practice Address - Street 1:122 LA CASA VIA STE 222
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3014
Practice Address - Country:US
Practice Address - Phone:925-937-0404
Practice Address - Fax:925-937-1340
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71608207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G716080OtherBLUE SHIELD OF CA
G71608OtherBLUE CROSS OF CA
CA00G716080Medicare ID - Type Unspecified
00G716080OtherBLUE SHIELD OF CA