Provider Demographics
NPI:1083748289
Name:CHEN, CHIA-HUI (BS)
Entity Type:Individual
Prefix:MRS
First Name:CHIA-HUI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41342 ROBERTS AVE
Mailing Address - Street 2:APT #3
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-4960
Mailing Address - Country:US
Mailing Address - Phone:626-278-0005
Mailing Address - Fax:
Practice Address - Street 1:41342 ROBERTS AVE
Practice Address - Street 2:APT # 3
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-6729
Practice Address - Country:US
Practice Address - Phone:626-278-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT32317174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist