Provider Demographics
NPI:1821138892
Name:CHIA-CHENG CHEN, CHIROPRACTIC. CORP
Entity Type:Organization
Organization Name:CHIA-CHENG CHEN, CHIROPRACTIC. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIA-CHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-964-1598
Mailing Address - Street 1:19141 E. COLIMA RD., STE. B
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3072
Mailing Address - Country:US
Mailing Address - Phone:626-964-1598
Mailing Address - Fax:626-964-0148
Practice Address - Street 1:19141 E. COLIMA RD., STE. B
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3072
Practice Address - Country:US
Practice Address - Phone:626-964-1598
Practice Address - Fax:626-964-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC23766AMedicare ID - Type Unspecified
CAU79973Medicare UPIN