Healthcare Provider Details

I. General information

NPI: 1598315467
Provider Name (Legal Business Name): DEAN T. CHIANG, M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 05/24/2020
Certification Date: 05/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 LOMITA BLVD STE 228
TORRANCE CA
90505-4870
US

IV. Provider business mailing address

10 COUNTRY MEADOW RD
ROLLING HILLS ESTATES CA
90274-5776
US

V. Phone/Fax

Practice location:
  • Phone: 310-508-0578
  • Fax:
Mailing address:
  • Phone: 310-508-0578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DEAN CHIANG
Title or Position: PRESIDENT
Credential: MD
Phone: 310-508-0578