Chen, Jack

Chen, Jack is an individual health care provider with primary practice located at 17050 Bushard St Suite 350, Fountain Valley CA 92708-2832. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Chen, Jack can be contacted via phone (714) 968-1316.

Contact Information

Primary practice address
17050 Bushard St Suite 350 Fountain Valley CA 92708-2832
Phone: (714) 968-1316
Fax: (714) 964-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT29842A California

Profile Details

NPI number 1669562351
LBN Legal business name Chen, Jack
Credentials PT, DPT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 24th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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