SU SIN CHEN M.D. PH.D. NPI 1720162167

NPI Information

NPI: 1720162167
Provider Name: SU SIN CHEN, M.D., PH.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4880 HUNTINGTON DR S
LOS ANGELES, CA
ZIP 90032
Phone: (323) 826-7388
Get Directions

Su Sin Chen, M.D., PH.D. is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Su Sin Chen, M.D., PH.D. NPI is 1720162167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4880 HUNTINGTON DR S
LOS ANGELES, CA
ZIP 90032-945
Phone: (323) 826-7388
Fax: (323) 826-7128

The NPI 1720162167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0007X	Pathology	Molecular Genetic Pathology	C56122	CALIFORNIA	No
2	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	C56122	CALIFORNIA	No
3	208D00000X	General Practice		C56122	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	194308601	MEDICAID	TEXAS
2	8U6104	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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