Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A43947 | CA |
NPI | 1053322701 |
---|---|
Provider Name | Mai-Ching Chien |
First Address | Hemet, CA 92543-4391 |
Second Address | Hemet, CA 92543-4391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 14/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A439470 | (05) | CA |
E42623 | (02) | CA |