Healthcare Provider Details

I. General information

NPI: 1053226993
Provider Name (Legal Business Name): MARIA CHIAM
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 CHESTNUT ST
SAN FRANCISCO CA
94133-2422
US

IV. Provider business mailing address

315 CHESTNUT ST
SAN FRANCISCO CA
94133-2422
US

V. Phone/Fax

Practice location:
  • Phone: 415-606-5839
  • Fax:
Mailing address:
  • Phone: 415-606-5839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: