Healthcare Provider Details

I. General information

NPI: 1184696999
Provider Name (Legal Business Name): NORMAN T CHIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S FAIR OAKS AVE SUITE 245
PASADENA CA
91105-2665
US

IV. Provider business mailing address

2100 E COLORADO BLVD STE 1
PASADENA CA
91107-5860
US

V. Phone/Fax

Practice location:
  • Phone: 626-229-9865
  • Fax: 626-229-9867
Mailing address:
  • Phone: 626-229-9865
  • Fax: 626-229-9867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA62136
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: