{
"Npi": {
"NPI": "1083904254",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHING CHEN M D INCORPORATED",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "17170 COLIMA RD",
"SecondLineMailingAddress": "SUITE #E",
"MailingAddressCityName": "HACIENDA HEIGHTS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91745-6771",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-810-5601",
"MailingAddressFaxNumber": "626-810-2556",
"FirstLinePracticeLocationAddress": "17170 COLIMA RD",
"SecondLinePracticeLocationAddress": "SUITE #E",
"PracticeLocationAddressCityName": "HACIENDA HEIGHTS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91745-6771",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-810-5601",
"PracticeLocationAddressFaxNumber": "626-810-2556",
"EnumerationDate": "04/08/2011",
"LastUpdateDate": "04/08/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHEN",
"AuthorizedOfficialFirstName": "CHING",
"AuthorizedOfficialMiddleName": "HSIU",
"AuthorizedOfficialTitle": "PHD",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M D",
"AuthorizedOfficialTelephoneNumber": "626-810-5601",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "G65094",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}