Charlie Chen, M.D., Corp.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHARLIE CHEN, M.D., CORP.

Practice address

3399 1St Ave
San Diego, CA 92103-5601

Phone

(858) 255-1538

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Charlie Chen, MD

Title

Ceo

Phone

(310) 210-9220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1740844745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BALCONY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034237",
            "telephone_number": "310-210-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035601",
            "telephone_number": "858-255-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE CHEN, M.D., CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-210-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R. Kossman, M.D., Inc.
• Lena Elizabeth Charles
• Vicki Achan Charles
• Cherry Charlestham, PHARM.D.
• Gay Sophia Yu Charley, NP
• Grace Charlton, LPCC
• Joanna Charnas
• Lindsey Michelle Charo, M.D.
• Don Charoen, DO
• Kalyalak Charoenraksa

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.