Provider Demographics
NPI:1477722643
Name:CHEN, JOYCE CHIYI (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:CHIYI
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 1:15825 LAGUNA CANYON RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2125
Mailing Address - Country:US
Mailing Address - Phone:503-544-5589
Mailing Address - Fax:
Practice Address - Street 1:15825 LAGUNA CANYON RD
Practice Address - Street 2:SUITE 208
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2125
Practice Address - Country:US
Practice Address - Phone:503-544-5589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104927208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery