MEDICARE: TIAN CHIANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist	08126

General Provider Information

NPI Number	:	1033657507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIAN CHIANG

Provider Business Mailing Address
First Line	:	3491 YELLOWTAIL DR
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-4849
Country	:	US
Telephone Number	:	714-756-1268
Fax Number	:

Provider Business Practice Location Address
First Line	:	3491 YELLOWTAIL DR
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-4849
Country	:	US
Telephone Number	:	714-756-1268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2017
Last Update Date	:	02/06/2017

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Directions to “ TIAN CHIANG ” Practice Location

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