Provider Demographics
NPI:1831123934
Name:CHEN, GARY YOU-GANG (MD)
Entity Type:Individual
Prefix:PROF
First Name:GARY
Middle Name:YOU-GANG
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YOU-GANG
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 25305
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92825-5305
Mailing Address - Country:US
Mailing Address - Phone:213-765-8088
Mailing Address - Fax:213-765-8181
Practice Address - Street 1:1414 S. GRAND AVE
Practice Address - Street 2:STE. 307
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015
Practice Address - Country:US
Practice Address - Phone:213-765-8088
Practice Address - Fax:213-765-8181
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78259207X00000X, 207XS0106X, 207XS0114X, 207XX0005X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI43717Medicare UPIN
CAW19273Medicare ID - Type Unspecified