Most Relevant Information
Provider Data
| NPI Number: | 1003229352 |
| Provider Name: | TERRY CHEN D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2014 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2 JAMES WAY STE 209
PISMO BEACH
CA
934494976
Practice Location Phone/Fax
| Phone: | 8057734882 |
| Fax: | 8057734933 |
Provider Mailing Location
1400 E CHURCH ST BLDG 8
SANTA MARIA
CA
934545906
Provider Mailing Phone/Fax
| Phone: | 8057393477 |
| Fax: |