Andy Chen M.D. a,Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A64741 Issued in CA

Legal business name

ANDY CHEN M.D. A,MEDICAL CORPORATION

Practice address

1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313

Phone

(818) 552-5000

Fax

(818) 552-2959

NPI assigned

Aug 2, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andy Yenyu ChenNPI 1831153659

Title

Ceo

Phone

(818) 552-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andy Chen, MD

  • Internal Medicine Physician
  • Rosemead, CA
  • NPI 1831153659
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043227192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024313",
            "telephone_number": "818-552-5000",
            "fax_number": "818-552-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024313",
            "telephone_number": "818-552-5000",
            "fax_number": "818-552-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY CHEN M.D. A,MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "YENYU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-552-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A64741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.