| Dr. Loren Chen, MD Inc | |
|
11631 Victory Blvd Ste 101 North Hollywood CA 91606-3572 | |
| (310) 901-4714 | |
| (818) 994-4491 |
| Full Name | Dr. Loren Chen, MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11631 Victory Blvd Ste 101, North Hollywood, California |
| Authorized Official Name and Position | Loren Yui Chen (PRESIDENT) |
| Authorized Official Contact | 6268938949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Loren Chen, MD Inc 11631 Victory Blvd Ste 101 North Hollywood CA 91606-3572 Ph: (310) 901-4714 | Dr. Loren Chen, MD Inc 11631 Victory Blvd Ste 101 North Hollywood CA 91606-3572 Ph: (310) 901-4714 |
| NPI Number | 1790972081 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 6002882545 |
|---|---|
| Medicare Enrollment ID | O20040907000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790972081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A60889 (California) | Primary |
| Provider Name | Loren Yui Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972581643 PECOS PAC ID: 2769458116 Enrollment ID: I20040908000575 |
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