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Licensing details for: A 190662

Name: Chen, Isaac

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: California Northstate University College of Medicine

Graduation Year: 2022

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

September 13, 2023

Expiration Date

November 30, 2027

Current Date / Time

April 3, 2026
3:40:23 AM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Chen, Isaac

License/Registration Type: Postgraduate Training License

License Number: 11306 Primary Status: License Canceled

Address :
5222 Cosumnes Dr Apt 282
STOCKTON CA 95219-7222
SAN JOAQUIN COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Postgraduate Training
Postgraduate Training Years
Decline to State
Primary Area of Practice
Decline to State
Secondary Area of Practice
Not Applicable
ABMS Certifications
Other - Decline to State
Are you retired?
Decline to state
Practice Activities
Direct Patient Care (including telehealth) - Decline to State

Training - Decline to State
Research - Decline to State
Administration - Decline to State
Other - Decline to State
Primary Practice Location
Decline to State
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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