Provider Demographics
NPI:1235619156
Name:CHEN, YI CHEN (DC)
Entity Type:Individual
Prefix:
First Name:YI CHEN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9939 GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-4712
Mailing Address - Country:US
Mailing Address - Phone:626-442-0800
Mailing Address - Fax:626-442-3800
Practice Address - Street 1:9939 GARVEY AVE
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-4712
Practice Address - Country:US
Practice Address - Phone:626-442-0800
Practice Address - Fax:626-442-3800
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC33336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor