SU SIN CHEN M.D., PH.D.
NPI 1720162167
General Practice in Los Angeles, CA

Q: What is Su Chen's NPI number?

The NPI number for Su Chen is 1720162167. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Su Chen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Su Chen was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2006PECOS Enrolled

4880 HUNTINGTON DR S, LOS ANGELES, CA 90032(323) 826-7388(323) 826-7128 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2022, Feb 22, 2022, Jan 10, 2020 (3 updates tracked since 2020).

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About Su Sin Chen M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SU SIN CHEN M.D., PH.D. (NPI 1720162167) is an individual general practice provider in Los Angeles, California, licensed in California (C56122) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1720162167

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameSU SIN CHENCredential: M.D., PH.D.

Location Address4880 HUNTINGTON DR SLos Angeles, CA 90032-1945

Mailing Address918 N Stoneman Ave Apt DAlhambra, CA 91801-1428 · (713) 409-7310

Phone(323) 826-7388

Fax(323) 826-7128

Sole ProprietorYes

Medical School CMSOtherGraduated 1990

Enumeration DateOctober 24, 2006

Last NPPES UpdateNovember 22, 20223 updates tracked since enumeration

NPPES CertifiedMarch 14, 2022

✔ NPI 1720162167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · C56122

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPathology · Molecular Genetic PathologyTaxonomy 207ZP0007X · License C56122 (CA)

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License C56122 (CA)

4880 HUNTINGTON DR S, Los Angeles, CA 90032

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Secondary Practice Locations 2

Location 13408 N Eastern AveLos Angeles, CA 90032-1934 · Phone (713) 409-7310

Location 23017 Telegraph Ave Ste 100Berkeley, CA 94705-2049 · Phone (713) 409-7310

Other Identifiers 2

Medicaid194308601TX

Other8U6104TX · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Su Sin Chen M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567564701

PECOS Enrollment IDI20220304001973

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENORA HEALTH INC

Clinic/Center (Primary Care)

4880 HUNTINGTON DR S
LOS ANGELES, CA 90032

Los Angeles County (713) 409-7310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Su Chen's NPI number?

The NPI number for Su Chen is 1720162167. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Su Chen located?

Su Chen practices at 4880 Huntington Dr S, Los Angeles, CA 90032. The listed phone number is (323) 826-7388.

What is Su Chen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Su Chen enrolled in Medicare?

Yes. Su Chen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Su Chen was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.