Basic Information
Provider Information
NPI: 1679811384
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHIANG
FirstName: ANGELA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 732 S 8TH ST
Address2:  
City: ALHAMBRA
State: CA
PostalCode: 918014633
CountryCode: US
TelephoneNumber: 6263197562
FaxNumber:  
Practice Location
Address1: 525 N GARFIELD AVE
Address2:  
City: MONTEREY PARK
State: CA
PostalCode: 917541202
CountryCode: US
TelephoneNumber: 6265732222
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/30/2013
LastUpdateDate: 01/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  N HospitalsGeneral Acute Care Hospital 
207R00000XA158413CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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