=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962401489
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HSIANG-SHIEN CHEN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2005
-----------------------------------------------------
Last Update Date | 07/09/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5450 JEFFERSON AVE SUITE 2
-----------------------------------------------------
City | CHINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91710-3522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-591-3869
-----------------------------------------------------
Fax | 909-627-2508
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5450 JEFFERSON AVE SUITE 2
-----------------------------------------------------
City | CHINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91710-3522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-591-3869
-----------------------------------------------------
Fax | 909-627-2508
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | A31958
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------