Healthcare Provider Details

I. General information

NPI: 1023843570
Provider Name (Legal Business Name): DANA P CHIENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N LAKE AVE STE 600
PASADENA CA
91101-5129
US

IV. Provider business mailing address

301 N LAKE AVE STE 600
PASADENA CA
91101-5129
US

V. Phone/Fax

Practice location:
  • Phone: 310-407-9153
  • Fax:
Mailing address:
  • Phone: 310-407-9153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: