Basic Information
Provider Information
NPI: 1922530864
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHIEN
FirstName: HENRY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 655 S CENTRAL VALLEY HWY
Address2:  
City: SHAFTER
State: CA
PostalCode: 932632790
CountryCode: US
TelephoneNumber: 8667076664
FaxNumber: 6614591821
Practice Location
Address1: 4900 CALIFORNIA AVE STE 100B
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933097027
CountryCode: US
TelephoneNumber: 8003006664
FaxNumber: 6614591821
Other Information
ProviderEnumerationDate: 03/30/2017
LastUpdateDate: 03/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA169395CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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