Organization Active NPI

Lido Chen, M.D. Inc

  • Specialist
  • Laguna Hills, CA
National Provider Identifier
1003936055
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A40968 Issued in CA
Legal business name
LIDO CHEN, M.D. INC
Practice address
23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92653-3101
Phone
(949) 458-2026
Fax
(949) 273-8053
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lido S Chen, MDNPI 1891781753
Title
Ceo
Phone
(714) 321-8854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A40968 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92653-3101

Mailing address

23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92653-3107
Phone (949) 458-2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1003936055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 204",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-458-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 204",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533101",
            "telephone_number": "949-458-2026",
            "fax_number": "949-273-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDO CHEN, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LIDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-321-8854",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.