Provider Demographics
NPI:1770818890
Name:CHEN, STELLA (DO)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 TEMPLE CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2113
Mailing Address - Country:US
Mailing Address - Phone:626-872-0082
Mailing Address - Fax:626-872-0081
Practice Address - Street 1:5807 TEMPLE CITY BLVD
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2113
Practice Address - Country:US
Practice Address - Phone:626-872-0082
Practice Address - Fax:626-872-0081
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine