Provider Demographics
NPI:1497790232
Name:CHEN, JASON HSIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:HSIN
Last Name:CHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5423 PAL MAL AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2847
Mailing Address - Country:US
Mailing Address - Phone:626-442-3046
Mailing Address - Fax:
Practice Address - Street 1:10053 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1764
Practice Address - Country:US
Practice Address - Phone:626-444-5130
Practice Address - Fax:626-444-5131
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor