Healthcare Provider Details

I. General information

NPI: 1508790288
Provider Name (Legal Business Name): MING-CHEN CHUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 RIDDER PARK DR
SAN JOSE CA
95131-2304
US

IV. Provider business mailing address

1514 KENNEWICK DR
SUNNYVALE CA
94087-4158
US

V. Phone/Fax

Practice location:
  • Phone: 408-392-3980
  • Fax: 408-392-3968
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP8782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: