Provider Demographics
NPI:1982858395
Name:CHEN, CALVIN KUAN JUNG (DO)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:KUAN JUNG
Last Name:CHEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:MR
Other - First Name:KUAN JUNG
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 PARK CREEK DR
Mailing Address - Street 2:PO BOX 2130
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-4426
Mailing Address - Country:US
Mailing Address - Phone:559-326-2800
Mailing Address - Fax:559-326-2801
Practice Address - Street 1:305 PARK CREEK DR
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-4426
Practice Address - Country:US
Practice Address - Phone:559-326-2800
Practice Address - Fax:559-326-2801
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A 12258207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology