Provider Demographics
NPI:1326260977
Name:CHOW, JEN YUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEN
Middle Name:YUAN
Last Name:CHOW
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 1:622 W DUARTE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7606
Mailing Address - Country:US
Mailing Address - Phone:626-447-3223
Mailing Address - Fax:626-445-4878
Practice Address - Street 1:622 W DUARTE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7606
Practice Address - Country:US
Practice Address - Phone:626-447-3223
Practice Address - Fax:626-445-4878
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA 104270207YX0905X
NY244038207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery