Provider Demographics
NPI:1871845883
Name:CHEN-CHIANG, TILING
Entity Type:Individual
Prefix:MS
First Name:TILING
Middle Name:
Last Name:CHEN-CHIANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4682 CHABOT DR UNIT 11611
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-6160
Mailing Address - Country:US
Mailing Address - Phone:925-271-0321
Mailing Address - Fax:
Practice Address - Street 1:5815 OWENS DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3939
Practice Address - Country:US
Practice Address - Phone:925-271-0321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA739628163W00000X
CAAC15083171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse