Provider Demographics
NPI:1457657710
Name:CHIANG, CHUN HSIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHUN
Middle Name:HSIEN
Last Name:CHIANG
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:550 N FLOWER ST
Mailing Address - Street 2:DEPT OF CHS
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-2361
Mailing Address - Country:US
Mailing Address - Phone:714-647-4170
Mailing Address - Fax:949-625-1038
Practice Address - Street 1:550 N FLOWER ST
Practice Address - Street 2:DEPT OF CMS
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-2361
Practice Address - Country:US
Practice Address - Phone:949-625-0938
Practice Address - Fax:714-752-5588
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2017-01-23
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Provider Licenses
StateLicense IDTaxonomies
CAA74859207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH66767Medicare UPIN