Provider Demographics
NPI:1649356023
Name:CHEN, JOHN L (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:CHEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:808 BRIGHAM YOUNG DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-2074
Mailing Address - Country:US
Mailing Address - Phone:909-625-5909
Mailing Address - Fax:909-625-5909
Practice Address - Street 1:9961 SIERRA AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-6720
Practice Address - Country:US
Practice Address - Phone:909-427-2673
Practice Address - Fax:909-427-5219
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2021-11-30
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Provider Licenses
StateLicense IDTaxonomies
CA20A9401207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology