Chen, Jaclyn J
Chen, Jaclyn J is an individual health care provider with primary practice located at 350 30Th St Ste 100 , Oakland CA 94609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Chen, Jaclyn J can be contacted via phone (510) 204-8168.Contact Information
Primary practice address
350 30Th St Ste 100
Oakland CA 94609
Phone: (510) 204-8168
Fax: (510) 506-7725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A120533 | California |
Profile Details
| NPI number | 1942520630 |
|---|---|
| LBN Legal business name | Chen, Jaclyn J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2010 |
| Last updated | Jun 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942520630 | NPPES |
| California | Other | A120533 | STATE MEDICAL LICENSE |
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