Provider Demographics
NPI:1649216888
Name:CHEN, LING P (MD)
Entity Type:Individual
Prefix:DR
First Name:LING
Middle Name:P
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 320603
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-0110
Mailing Address - Country:US
Mailing Address - Phone:408-358-8852
Mailing Address - Fax:408-358-8303
Practice Address - Street 1:360 DARDANELLI LN STE 2D
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1421
Practice Address - Country:US
Practice Address - Phone:408-358-8852
Practice Address - Fax:408-358-8303
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2022-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA 052321207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG44945Medicare UPIN