Chen, Jerrica
Chen, Jerrica is an individual health care provider with primary practice located at 13652 Cantara St Department Of Emergency Medicine, Panorama City CA 91402-5423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Chen, Jerrica can be contacted via phone (818) 375-2013.Contact Information
Primary practice address
13652 Cantara St Department Of Emergency Medicine
Panorama City CA 91402-5423
Phone: (818) 375-2013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 233844 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 233844 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C54289 | California |
Profile Details
| NPI number | 1679558324 |
|---|---|
| LBN Legal business name | Chen, Jerrica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Nov 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679558324 | NPPES |
| New York | MEDICAID | 02663867 |
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