Individual ProviderAudrey ChenPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address2010 Zonal Ave # 1p10, Los Angeles, CA 90033(323) 409-5555PECOS EnrollmentBased on the most recent information from CMS, provider Audrey Chen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790247534Provider TypeIndividualFull NameChen, AudreyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/2/2019Last Updated9/15/2022Contact InformationPractice LocationPractice Address2010 Zonal Ave # 1p10, Los Angeles, CA 90033Phone(323) 409-5555FaxUnlisted FaxMailing LocationMailing Address2010 Zonal Ave # 1p10, Los Angeles, CA 90033-1026Phone(323) 409-5555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA176073California