Search › California › 101Y00000X
Chanthouen Pen
NPI 1588812457 · on the registry since 2008
Practice
- Address
- 3830 Alvarado Ave Ste C
Stockton, CA 95204 - Phone
- (209) 944-1700
- Organisation at this address
- Asian Pacific Self-Development And Residential Association
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2008-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California