Provider Demographics
NPI:1225196835
Name:CHEN, DAVID KUAN-HUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KUAN-HUNG
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-1323
Mailing Address - Country:US
Mailing Address - Phone:626-793-3959
Mailing Address - Fax:
Practice Address - Street 1:12462 PUTNAM ST
Practice Address - Street 2:SUITE 500
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1048
Practice Address - Country:US
Practice Address - Phone:562-789-5456
Practice Address - Fax:562-789-5457
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83518207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A835180Medicaid
CA00A835180Medicaid
CA00A835180Medicaid
CABC8418750OtherDEA