| William W Chen Md Medical Corporation | |
|
2089 Vale Rd # 34 San Pablo CA 94806 | |
| (510) 235-9247 | |
| (510) 235-9248 |
| Full Name | William W Chen Md Medical Corporation |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 2089 Vale Rd # 34, San Pablo, California |
| Authorized Official Name and Position | William Wei Ming Chen (PRESIDENT) |
| Authorized Official Contact | 5102359247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William W Chen Md Medical Corporation 2089 Vale Rd # 34 San Pablo CA 94806 Ph: (510) 235-9247 | William W Chen Md Medical Corporation 2089 Vale Rd # 34 San Pablo CA 94806 Ph: (510) 235-9247 |
| NPI Number | 1942386180 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/23/2010 |
| Medicare PECOS PAC ID | 0143344481 |
|---|---|
| Medicare Enrollment ID | O20100824000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942386180 | NPI | - | NPPES |
| 00A070200 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Primary |
| Provider Name | William Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851498372 PECOS PAC ID: 9032215322 Enrollment ID: I20070502000697 |
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