Provider Demographics
NPI:1588799274
Name:HUGO CHAN MD & NAOMI SHIEH MD A GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:HUGO CHAN MD & NAOMI SHIEH MD A GENERAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-671-6148
Mailing Address - Street 1:1215 PLUMAS ST.
Mailing Address - Street 2:STE 1200
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991
Mailing Address - Country:US
Mailing Address - Phone:530-671-6148
Mailing Address - Fax:530-671-6432
Practice Address - Street 1:1215 PLUMAS ST.
Practice Address - Street 2:STE 1200
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991
Practice Address - Country:US
Practice Address - Phone:530-671-6148
Practice Address - Fax:530-671-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC402250207V00000X
CAA36393208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C402250Medicaid
CAA37334Medicare UPIN
A37334Medicare UPIN