Provider Demographics
NPI:1679675904
Name:CHIEN, OSCAR L (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:L
Last Name:CHIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448 S. SAN GABRIEL BL.
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776
Mailing Address - Country:US
Mailing Address - Phone:626-569-2888
Mailing Address - Fax:626-569-9929
Practice Address - Street 1:1448 S. SAN GABRIEL BL.
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776
Practice Address - Country:US
Practice Address - Phone:626-569-2888
Practice Address - Fax:626-569-9929
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54999207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A549990Medicaid
CAA54999Medicare ID - Type Unspecified
CA00A549990Medicaid