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NPI Code Detail

MEDICARE: STACEY CHIA

MEDICARE:   STACEY  CHIA
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
11835P0200XPediatric Pharmacist73218CA

General Provider Information

NPI Number : 1245185784
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY CHIA
Provider Business Mailing Address
First Line : 3240 CANDLEWOOD RD
Second Line :
City : TORRANCE
State : CA
Zip : 90505-7143
Country : US
Telephone Number : 714-875-5566
Fax Number :
Provider Business Practice Location Address
First Line : 2801 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1701
Country : US
Telephone Number : 714-875-5566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/09/2026

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Directions to “ STACEY CHIA ” Practice Location

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