Chen, Susan
Chen, Susan is an individual health care provider with primary practice located at 2530 Bryan Ave Suite # D, Tustin CA 92782-8916. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chen, Susan can be contacted via phone (714) 838-2020.Contact Information
Primary practice address
2530 Bryan Ave Suite # D
Tustin CA 92782-8916
Phone: (714) 838-2020
Fax: (714) 838-2252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11047T | California |
Profile Details
| NPI number | 1427101021 |
|---|---|
| LBN Legal business name | Chen, Susan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Feb 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427101021 | NPPES |
| California | MEDICAID | 0173 |
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