Provider Demographics
NPI:1346350105
Name:CHEN, SAKO (MD)
Entity Type:Individual
Prefix:DR
First Name:SAKO
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 MAGNOLIA AVE
Mailing Address - Street 2:13
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-4610
Mailing Address - Country:US
Mailing Address - Phone:626-744-3622
Mailing Address - Fax:
Practice Address - Street 1:201 S BUENA VISTA ST
Practice Address - Street 2:225
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4569
Practice Address - Country:US
Practice Address - Phone:818-239-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74977207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA74977AMedicare ID - Type UnspecifiedPPIN
I24221Medicare UPIN