Chiang, Chen Der J
Chiang, Chen Der J is an individual health care provider with primary practice located at 2219 S Hacienda Blvd #100 , Hacienda Heights CA 91745. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chiang, Chen Der J can be contacted via phone (626) 369-1177.Contact Information
Primary practice address
2219 S Hacienda Blvd #100
Hacienda Heights CA 91745
Phone: (626) 369-1177
Fax: (626) 369-1186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | B38660 | California |
Profile Details
| NPI number | 1093867103 |
|---|---|
| LBN Legal business name | Chiang, Chen Der J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 23rd, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093867103 | NPPES |
| California | MEDICAID | B3866001 | |
| California | Other | B38660 |
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