Healthcare Provider Details

I. General information

NPI: 1740274018
Provider Name (Legal Business Name): HUEY YUAN TIEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W SUNNYSIDE AVE
VISALIA CA
93277-7287
US

IV. Provider business mailing address

2300 W SUNNYSIDE AVE
VISALIA CA
93277-7287
US

V. Phone/Fax

Practice location:
  • Phone: 559-731-2009
  • Fax:
Mailing address:
  • Phone: 559-731-2009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number36097
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number01059565A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: