Provider Demographics
NPI:1366837890
Name:CHEN, WILLIAM CHANG-YUEN
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHANG-YUEN
Last Name:CHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 FROST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4207
Mailing Address - Country:US
Mailing Address - Phone:858-292-7527
Mailing Address - Fax:
Practice Address - Street 1:8008 FROST ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4207
Practice Address - Country:US
Practice Address - Phone:858-292-7527
Practice Address - Fax:858-292-7804
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10327400208M00000X
390200000X
CAA184576207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program