Provider Demographics
NPI:1215187117
Name:COMMUNITY HOSPITAL INPATIENT PHYSICIANS AT EL CAMINO HOSPITAL
Entity Type:Organization
Organization Name:COMMUNITY HOSPITAL INPATIENT PHYSICIANS AT EL CAMINO HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JYH-YENN
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-654-3954
Mailing Address - Street 1:1601 EL CAMINO REAL STE 303
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3943
Mailing Address - Country:US
Mailing Address - Phone:650-654-3954
Mailing Address - Fax:650-654-3997
Practice Address - Street 1:1601 EL CAMINO REAL STE 303
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3943
Practice Address - Country:US
Practice Address - Phone:650-654-3954
Practice Address - Fax:650-654-3997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0063211207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty