Jack L Chen
Medical Specialty
Professional ID
- NPI: 1134169139
- PECOS ID: 7315983285
- Enrollment ID: I20050707000588
- Credential(MD, DO, DPM): MD
- Medical School: Brown University Program In Medicine
- Medical School Graduation Year: 1995
Hospital Service
- Hospital CCN1: 050761
- Business Name (LBN)1: Providence Tarzana Medical Center
Medical Practices
- Organization Name: Beverly Radiology Medical Group Iii
- Group Practice ID assigned by PECOS: 3476466376
- Number of Group Practice member: 189
Location
- Address1: 10101 Riverside Dr
- Address2:
- City: Toluca Lake
- State: California
- Zip Code: 91602
- Phone Number: (818)762-2626
Medical Practices
- Organization Name: San Fernando Valley Interventional
- Group Practice ID assigned by PECOS: 3476651431
- Number of Group Practice member: 50
Location
- Address1: 16311 Ventura Blvd
- Address2: Suite 120
- City: Encino
- State: California
- Zip Code: 91436
- Phone Number: (818)817-7707
Medical Practices
- Organization Name: South Valley Radiology Medical Group Inc
- Group Practice ID assigned by PECOS: 9335184738
- Number of Group Practice member: 7
Location
- Address1: 18321 Clark St
- Address2:
- City: Tarzana
- State: California
- Zip Code: 91356
- Phone Number: (818)705-5470
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):