Basic Information
Provider Information
NPI: 1497078802
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEN
FirstName: DIANA
MiddleName: YING-CHIEH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 770 WELCH RD STE 350
Address2:  
City: PALO ALTO
State: CA
PostalCode: 943041523
CountryCode: US
TelephoneNumber: 6507238325
FaxNumber:  
Practice Location
Address1: 770 WELCH RD STE 350
Address2:  
City: PALO ALTO
State: CA
PostalCode: 94304
CountryCode: US
TelephoneNumber: 6507238325
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/12/2010
LastUpdateDate: 10/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA110960CAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0214XA110960CAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology

No ID Information.


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