Provider Demographics
NPI:1366677767
Name:CHEN, HWEY-FONG (OMD)
Entity Type:Individual
Prefix:
First Name:HWEY-FONG
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40900 FREMONT BLVD
Mailing Address - Street 2:SUITE C2
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-4361
Mailing Address - Country:US
Mailing Address - Phone:510-661-9928
Mailing Address - Fax:510-249-9968
Practice Address - Street 1:40900 FREMONT BLVD.
Practice Address - Street 2:SUITE C2
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-661-9928
Practice Address - Fax:510-249-9968
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA9239171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist