Provider Demographics
NPI:1235327701
Name:CHEN, ANTONY EUGENE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTONY
Middle Name:EUGENE
Last Name:CHEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5601 DE SOTO AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6701
Mailing Address - Country:US
Mailing Address - Phone:714-741-2765
Mailing Address - Fax:714-537-8968
Practice Address - Street 1:12601 GARDEN GROVE BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1908
Practice Address - Country:US
Practice Address - Phone:714-741-2765
Practice Address - Fax:714-537-8968
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2021-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8989207ZB0001X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine