Organization Active NPI

Hai-Sou Chen, DDS, a Professional Corp.

  • Health Maintenance Organization
  • San Gabriel, CA
National Provider Identifier
1720276397
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
29230 Issued in CA
Legal business name
HAI-SOU CHEN, DDS, A PROFESSIONAL CORP.
Practice address
301 W Valley Blvd Ste 222
San Gabriel, CA 91776-3759
Phone
(626) 573-5637
Fax
(626) 308-9659
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Hai-Sou Chen, D.D.S.NPI 1346370509
Title
Ceo
Phone
(626) 573-5637

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
Health Maintenance Organization 302R00000X 29230 CA Primary

Addresses

Primary practice location

301 W Valley Blvd Ste 222
San Gabriel, CA 91776-3759

Mailing address

301 W Valley Blvd Ste 222
San Gabriel, CA 91776-3759
Phone (626) 573-5637

National Provider Directory

National Provider Directory

Locations

301 W Valley Blvd
Ste 222
San Gabriel, CA 91776
Phone (626) 573-5637

Practitioners & affiliated clinicians

Practitioners 1

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1720276397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W VALLEY BLVD STE 222",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763759",
            "telephone_number": "626-573-5637",
            "fax_number": "626-308-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W VALLEY BLVD STE 222",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763759",
            "telephone_number": "626-573-5637",
            "fax_number": "626-308-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAI-SOU CHEN, DDS, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HAI-SOU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-573-5637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "29230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.