Provider Demographics
NPI:1982182127
Name:HARRY CHEN, M.D., INC., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HARRY CHEN, M.D., INC., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-676-3975
Mailing Address - Street 1:128 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:CA
Mailing Address - Zip Code:93625-2332
Mailing Address - Country:US
Mailing Address - Phone:559-676-3975
Mailing Address - Fax:
Practice Address - Street 1:128 N 6TH ST
Practice Address - Street 2:
Practice Address - City:FOWLER
Practice Address - State:CA
Practice Address - Zip Code:93625
Practice Address - Country:US
Practice Address - Phone:559-676-3975
Practice Address - Fax:559-676-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1457383358OtherNPPES: PHYSICIAN NPI OF HARRY CHEN, M.D.