Provider Demographics
NPI:1326136854
Name:CHEN, TOMMY HO-YIN (MD)
Entity Type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:HO-YIN
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 BELLEFONTAINE ST
Mailing Address - Street 2:#301
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3132
Mailing Address - Country:US
Mailing Address - Phone:626-793-4857
Mailing Address - Fax:626-793-8812
Practice Address - Street 1:50 BELLEFONTAINE ST
Practice Address - Street 2:#301
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3132
Practice Address - Country:US
Practice Address - Phone:626-793-4857
Practice Address - Fax:626-793-8812
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC37340207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C373400Medicaid
CAA36582Medicare UPIN
CAC37340AMedicare PIN
CAC37340Medicare PIN