Provider Demographics
NPI:1003523879
Name:GENE ON LINK LLC
Entity Type:Organization
Organization Name:GENE ON LINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MMD
Authorized Official - Phone:626-463-8162
Mailing Address - Street 1:2101 W BEVERLY BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-3951
Mailing Address - Country:US
Mailing Address - Phone:909-497-4240
Mailing Address - Fax:
Practice Address - Street 1:2101 W BEVERLY BLVD STE 305
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3951
Practice Address - Country:US
Practice Address - Phone:352-834-4683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory