Provider Demographics
NPI:1437138799
Name:CHEN, YUN-CHING (MD)
Entity Type:Individual
Prefix:DR
First Name:YUN-CHING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YUN-CHING
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1105
Mailing Address - Street 2:
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-1105
Mailing Address - Country:US
Mailing Address - Phone:831-462-6013
Mailing Address - Fax:831-465-9519
Practice Address - Street 1:1715 42ND AVE STE B
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-3557
Practice Address - Country:US
Practice Address - Phone:831-462-6013
Practice Address - Fax:831-465-9519
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G12481Medicare UPIN