Provider Demographics
NPI:1558646513
Name:CHIANG, PINCHIEH (DO)
Entity Type:Individual
Prefix:
First Name:PINCHIEH
Middle Name:
Last Name:CHIANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 F ST # 141
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:333 1ST ST STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-2661
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:888-803-3331
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ009618207Q00000X
NJ25MB11399000207Q00000X
PAOS021889207Q00000X
FLOS18561207Q00000X
IL036.158664207Q00000X
ORDO205734207Q00000X
CA20A11887207Q00000X
TN4731207Q00000X
WAOP61182013207Q00000X
COCDR.0002301207Q00000X
TXT9659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine