Carl C. Chen, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A30781 Issued in CA

Legal business name

CARL C. CHEN, M.D., INC.

Practice address

301 W Bastanchury Rd
Suite 140
Fullerton, CA 92835-3419

Phone

(714) 773-0111

Fax

(714) 773-5518

NPI assigned

Sep 21, 2007

Last updated

Nov 25, 2009By 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

Dr. Carl C. Chen, M.D.

Title

Owner

Phone

(714) 773-0111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1689860843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 140",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-773-0111",
            "fax_number": "714-773-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 140",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-773-0111",
            "fax_number": "714-773-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL C. CHEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-773-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A30781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care R US Hospice and Palliative Care Inc.
• Care Therapy Solutions LLC
• Carechoices Home Health Services LLC
• Carepath Transport
• Carl a Hess MD a Medical Corporation
• Anthony Steven Carletello
• Carlos del Campo MD, a Medical Corporation
• Sonia Carlos
• Ronald Gaylord Carlson, PSY D
• Carmen Jan Yoo, OD a Professional Corporation (Fullerton Eyes Optometry)

• Specialist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.