Provider Demographics
NPI:1346262631
Name:CHIA, SAM P (MD)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:P
Last Name:CHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:224 S SANTA ANITA AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3521
Mailing Address - Country:US
Mailing Address - Phone:626-447-5800
Mailing Address - Fax:626-447-5886
Practice Address - Street 1:224 S SANTA ANITA AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3521
Practice Address - Country:US
Practice Address - Phone:626-447-5800
Practice Address - Fax:626-447-5886
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA55837207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A558370Medicaid
CA00A558370Medicaid
G82925Medicare UPIN