MEDICARE: MRS. SONYA CHEN-HSIEH MD

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	207Q00000X	Family Medicine Physician	036110187	IL

General Provider Information

NPI Number	:	1528017894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONYA CHEN-HSIEH MD

Provider Business Mailing Address
First Line	:	375 HUNTINGTON DR STE G
Second Line	:
City	:	SAN MARINO
State	:	CA
Zip	:	91108-2357
Country	:	US
Telephone Number	:	626-441-4231
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 HUNTINGTON DR
Second Line	:	SUITE G
City	:	SAN MARINO
State	:	CA
Zip	:	91108-2357
Country	:	US
Telephone Number	:	626-441-4231
Fax Number	:

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

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	09/29/2008

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