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NPI Code Detail

MEDICARE: JENNY LIEU CHIA MD

MEDICARE:   JENNY LIEU CHIA  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
1207Q00000XFamily Medicine Physician10588NV

Other Identifiers

General Provider Information

NPI Number : 1871564435
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY LIEU CHIA MD
Provider Business Mailing Address
First Line : PO BOX 50716
Second Line :
City : HENDERSON
State : NV
Zip : 89016-0716
Country : US
Telephone Number : 702-614-0850
Fax Number : 702-614-0798
Provider Business Practice Location Address
First Line : 2789 SUNRIDGE HEIGHTS PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5053
Country : US
Telephone Number : 702-614-0850
Fax Number : 702-614-0798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 11/17/2023

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Directions to “ JENNY LIEU CHIA MD” Practice Location

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