Provider Demographics
NPI:1023730884
Name:CHIAO, CHI-LUN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHI-LUN
Middle Name:
Last Name:CHIAO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALAN
Other - Middle Name:
Other - Last Name:CHIAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:110 N MERIDITH AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2242
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 S BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7930
Practice Address - Country:US
Practice Address - Phone:626-445-2170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist