MEDICARE: DR. JAMES JEFFREY CHIEN M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	231477	MA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	40347	AZ
3	207L00000X	Anesthesiology Physician	40347	AZ

General Provider Information

NPI Number	:	1457411704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES JEFFREY CHIEN M.D.

Provider Business Mailing Address
First Line	:	4650 E COTTON CENTER BLVD
Second Line	:	STE 250
City	:	PHOENIX
State	:	AZ
Zip	:	85040-4806
Country	:	US
Telephone Number	:	623-505-4847
Fax Number	:	602-685-9595

Provider Business Practice Location Address
First Line	:	2919 S ELLSWORTH RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-2164
Country	:	US
Telephone Number	:	480-649-3111
Fax Number	:

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

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	05/27/2022

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