Provider Demographics
NPI:1043386204
Name:DENNIS HUI-TING CHEN, M.D. A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:DENNIS HUI-TING CHEN, M.D. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:HUI-TING
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-544-2830
Mailing Address - Street 1:1533 VIA CASTILLA
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-2877
Mailing Address - Country:US
Mailing Address - Phone:310-544-2830
Mailing Address - Fax:310-544-2830
Practice Address - Street 1:925 E SAN ANTONIO DR STE 16
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2210
Practice Address - Country:US
Practice Address - Phone:562-423-2288
Practice Address - Fax:562-423-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty