Provider Demographics
NPI:1669850723
Name:KUAN-NICKEL, CHIAN-IAN (MSW)
Entity type:Individual
Prefix:
First Name:CHIAN-IAN
Middle Name:
Last Name:KUAN-NICKEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 W 181ST ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5214
Mailing Address - Country:US
Mailing Address - Phone:310-766-9262
Mailing Address - Fax:
Practice Address - Street 1:2402 W 181ST ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-5214
Practice Address - Country:US
Practice Address - Phone:310-766-9262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-09
Last Update Date:2015-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical