Provider Demographics
NPI:1760484455
Name:CHIANG, DEAN TING-YUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:TING-YUAN
Last Name:CHIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3440 LOMITA BLVD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4801
Mailing Address - Country:US
Mailing Address - Phone:310-326-3371
Mailing Address - Fax:310-326-2294
Practice Address - Street 1:3440 LOMITA BLVD
Practice Address - Street 2:SUITE 228
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4801
Practice Address - Country:US
Practice Address - Phone:310-326-3371
Practice Address - Fax:310-326-2294
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73856207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH83225Medicare UPIN
CAWA73856CMedicare ID - Type Unspecified