Provider Demographics
NPI:1477330728
Name:CHEN FACIAL PLASTIC SURGERY, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:CHEN FACIAL PLASTIC SURGERY, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:HAIPEI
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:310-997-0280
Mailing Address - Street 1:435 N ROXBURY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5004
Mailing Address - Country:US
Mailing Address - Phone:310-997-0280
Mailing Address - Fax:909-774-5880
Practice Address - Street 1:435 N ROXBURY DR STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5004
Practice Address - Country:US
Practice Address - Phone:310-997-0280
Practice Address - Fax:909-774-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center