Provider Demographics
NPI:1346219946
Name:CHEN, NANCY P (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:P
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:P
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:504 W MISSION AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1602
Mailing Address - Country:US
Mailing Address - Phone:760-747-1980
Mailing Address - Fax:760-747-2045
Practice Address - Street 1:504 W MISSION AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1602
Practice Address - Country:US
Practice Address - Phone:760-747-1980
Practice Address - Fax:760-747-2045
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA070199174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH57641Medicare UPIN