Chiang, Pengta Anthony

Chiang, Pengta Anthony is an individual health care provider with primary practice located at 4002 Vista Way Emergency Department, Oceanside CA 92056-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chiang, Pengta Anthony can be contacted via phone (760) 439-1963.

Contact Information

Primary practice address
4002 Vista Way Emergency Department Oceanside CA 92056-4506
Phone: (760) 439-1963
Fax: (760) 268-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A61358 California

Profile Details

NPI number 1104892710
LBN Legal business name Chiang, Pengta Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 26th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104892710 NPPES
California MEDICAID 00A613580

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