Healthcare Provider Details

I. General information

NPI: 1316584006
Provider Name (Legal Business Name): CATHERINE CHIEN DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 W GONZALES RD STE 300
OXNARD CA
93036-9003
US

IV. Provider business mailing address

451 W GONZALES RD STE 300
OXNARD CA
93036-9003
US

V. Phone/Fax

Practice location:
  • Phone: 619-980-4085
  • Fax:
Mailing address:
  • Phone: 805-983-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE CHIEN
Title or Position: OWNER
Credential:
Phone: 310-367-6071