Provider Demographics
NPI:1962684308
Name:CHEW, HEIDI CHEN (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:CHEN
Last Name:CHEW
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:WEN-CHU
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9985 SIERRA AVE
Mailing Address - Street 2:KAISER FONTANA, DEPT OB/GYN
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335
Mailing Address - Country:US
Mailing Address - Phone:909-427-5826
Mailing Address - Fax:909-429-5219
Practice Address - Street 1:9985 SIERRA AVE
Practice Address - Street 2:KAISER FONTANA, DEPT OB/GYN
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335
Practice Address - Country:US
Practice Address - Phone:909-427-5826
Practice Address - Fax:909-429-5219
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046512207V00000X
CAA113910207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology