Provider Demographics
NPI:1689741910
Name:CHEN, EMY CAITLIN (MD)
Entity Type:Individual
Prefix:
First Name:EMY
Middle Name:CAITLIN
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 1:488 E SANTA CLARA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-7229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:488 E SANTA CLARA ST
Practice Address - Street 2:104
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-7229
Practice Address - Country:US
Practice Address - Phone:626-357-6808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70838207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology