Provider Demographics
NPI:1881772887
Name:CHEN, MAY SHU (MD)
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:SHU
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26522 LA ALAMEDA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6330
Mailing Address - Country:US
Mailing Address - Phone:949-282-1671
Mailing Address - Fax:949-367-0518
Practice Address - Street 1:26800 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6384
Practice Address - Country:US
Practice Address - Phone:949-364-0644
Practice Address - Fax:949-364-1520
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG78591207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFH374YMedicare PIN
G77286Medicare UPIN
WG78591BMedicare ID - Type Unspecified
CAFH374ZMedicare PIN