| William Chen M.D. Inc. | |
|
18 Endeavor Ste 305 Irvine CA 92618-3177 | |
| (949) 585-5188 | |
| (949) 288-0252 |
| Full Name | William Chen M.D. Inc. |
|---|---|
| Speciality | Ophthalmology |
| Location | 18 Endeavor Ste 305, Irvine, California |
| Authorized Official Name and Position | William Chen (PRESIDENT) |
| Authorized Official Contact | 5624260603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Chen M.D. Inc. 18 Endeavor Ste 305 Irvine CA 92618-3177 Ph: (949) 585-5188 | William Chen M.D. Inc. 18 Endeavor Ste 305 Irvine CA 92618-3177 Ph: (949) 585-5188 |
| NPI Number | 1619141629 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Medicare PECOS PAC ID | 8325126972 |
|---|---|
| Medicare Enrollment ID | O20080422000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619141629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 207W00000X | Ophthalmology | G 34389 (California) | Primary |
| Provider Name | William P Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558420661 PECOS PAC ID: 2163500711 Enrollment ID: I20080422000674 |
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