Individual provider Active NPI

Soleil Chen

  • Licensed Vocational Nurse
  • Montebello, CA
National Provider Identifier
1205525557
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
721608 Issued in CA
Practice address
3317 W Beverly Blvd Ste 200
Montebello, CA 90640-1572
Phone
(323) 621-6700
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 721608 CA Primary

Addresses

Primary practice location

3317 W Beverly Blvd Ste 200
Montebello, CA 90640-1572

Mailing address

3317 W Beverly Blvd Ste 200
Montebello, CA 90640-1572
Phone (323) 621-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
721608CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seramobile Healthcare Clinics LLC CurrentSince May 12, 2024 Accepting new patients
Seracollection Research Services CurrentSince May 7, 2023 Accepting new patients

Locations

3317 W Beverly Blvd
Ste 200
Montebello, CA 90640
Phone (323) 621-6700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1205525557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W BEVERLY BLVD STE 200",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401572",
            "telephone_number": "323-621-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W BEVERLY BLVD STE 200",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401572",
            "telephone_number": "323-621-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SOLEIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "721608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.