Provider Demographics
NPI:1043465545
Name:CHEN, CYNTHIA LEA (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LEA
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1701 DIVISADERO ST
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 DIVISADERO ST
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3011
Practice Address - Country:US
Practice Address - Phone:415-353-7800
Practice Address - Fax:415-353-7870
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2022-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA106034207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology