Provider Demographics
NPI:1881126258
Name:CHEN, NITA (MD)
Entity type:Individual
Prefix:DR
First Name:NITA
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:280 NEWPORT CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7541
Mailing Address - Country:US
Mailing Address - Phone:949-478-3305
Mailing Address - Fax:475-277-4971
Practice Address - Street 1:280 NEWPORT CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7541
Practice Address - Country:US
Practice Address - Phone:949-478-3305
Practice Address - Fax:475-277-4971
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1508322084N0400X
CA91626323822084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology