Provider Demographics
NPI:1518378462
Name:CHEN, AMERY CONG (DO)
Entity Type:Individual
Prefix:
First Name:AMERY
Middle Name:CONG
Last Name:CHEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2610 VISTA MONTE CIR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1198
Mailing Address - Country:US
Mailing Address - Phone:650-283-9094
Mailing Address - Fax:
Practice Address - Street 1:1900 E 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3910
Practice Address - Country:US
Practice Address - Phone:714-967-4766
Practice Address - Fax:714-967-4548
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2021-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A14244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine