Chen, Jerrica

Chen, Jerrica is an individual health care provider with primary practice located at 13652 Cantara St Department Of Emergency Medicine, Panorama City CA 91402-5423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Chen, Jerrica can be contacted via phone (818) 375-2013.

Contact Information

Primary practice address
13652 Cantara St Department Of Emergency Medicine Panorama City CA 91402-5423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 233844 New York
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 233844 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C54289 California

Profile Details

NPI number 1679558324
LBN Legal business name Chen, Jerrica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Nov 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679558324 NPPES
New York MEDICAID 02663867

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