Provider Demographics
NPI:1184696999
Name:CHIEN, NORMAN T (MD)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:T
Last Name:CHIEN
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 1:2100 E COLORADO BLVD
Mailing Address - Street 2:STE 1
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-5860
Mailing Address - Country:US
Mailing Address - Phone:626-229-9865
Mailing Address - Fax:626-229-9867
Practice Address - Street 1:625 S FAIR OAKS AVE
Practice Address - Street 2:SUITE 245
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2665
Practice Address - Country:US
Practice Address - Phone:626-229-9865
Practice Address - Fax:626-229-9867
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62136207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACZ246XMedicare PIN
CAG60833Medicare UPIN