Provider Demographics
NPI:1992797914
Name:CHEN, FUYI (DDS)
Entity type:Individual
Prefix:DR
First Name:FUYI
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:CALVIN
Other - Middle Name:FU-YI
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:808 E VALLEY BLVD
Mailing Address - Street 2:STE 9
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3607
Mailing Address - Country:US
Mailing Address - Phone:626-572-7280
Mailing Address - Fax:
Practice Address - Street 1:808 E VALLEY BLVD
Practice Address - Street 2:STE 9
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3607
Practice Address - Country:US
Practice Address - Phone:626-572-7280
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28667122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist