Chen, Jung-Wei

Chen, Jung-Wei is an individual health care provider with primary practice located at 11092 Anderson St Prince Hall 3301, Loma Linda CA 92350-1706. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Chen, Jung-Wei can be contacted via phone (909) 558-4690.

Contact Information

Primary practice address
11092 Anderson St Prince Hall 3301 Loma Linda CA 92350-1706
Phone: (909) 558-4690
Fax: (909) 558-0322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 20810 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 57578 California

Profile Details

NPI number 1336273630
LBN Legal business name Chen, Jung-Wei
Credentials D.D.S., M.S., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Apr 28th, 2011 - about 14 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 1336273630 NPPES
California MEDICAID 1639270846
California MEDICAID 1497075-01

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