=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275512337
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FEMCARE MEDICAL ASSOCIATES OF INLAND VALLEY, INC A PROF CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2006
-----------------------------------------------------
Last Update Date | 04/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 160 E ARTESIA ST SUITE 330
-----------------------------------------------------
City | POMONA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91767-2900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-622-5654
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 27
-----------------------------------------------------
City | CLAREMONT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91711-0027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-622-5654
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | FRANK L CHIANG
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 909-622-5654
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------