Provider Demographics
NPI:1033506142
Name:CHEN, JENNIFER SEE-WAH (DPM MPH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:SEE-WAH
Last Name:CHEN
Suffix:
Gender:F
Credentials:DPM MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W BASELINE RD STE E
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4837
Mailing Address - Country:US
Mailing Address - Phone:626-963-0302
Mailing Address - Fax:626-963-4703
Practice Address - Street 1:504 W BASELINE RD STE E
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4837
Practice Address - Country:US
Practice Address - Phone:626-963-0302
Practice Address - Fax:626-963-4703
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5196213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery