Healthcare Provider Details

I. General information

NPI: 1659687473
Provider Name (Legal Business Name): SAM P CHIA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S SANTA ANITA AVE
ARCADIA CA
91006-3521
US

IV. Provider business mailing address

224 S SANTA ANITA AVE
ARCADIA CA
91006-3521
US

V. Phone/Fax

Practice location:
  • Phone: 626-447-5800
  • Fax: 626-447-5886
Mailing address:
  • Phone: 626-447-5800
  • Fax: 626-447-5886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA55837
License Number StateCA

VIII. Authorized Official

Name: DR. SAM CHIA
Title or Position: PRESIDENT
Credential: MD
Phone: 626-447-5800