Organization Active NPI

Ching Chen M D Incorporated

  • Medical Specialty Clinic/Center
  • Hacienda Heights, CA
National Provider Identifier
1083904254
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G65094 Issued in CA
Legal business name
CHING CHEN M D INCORPORATED
Practice address
17170 Colima Rd
Suite #E
Hacienda Heights, CA 91745-6771
Phone
(626) 810-5601
Fax
(626) 810-2556
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ching Hsiu Chen, M D
Title
PHD
Phone
(626) 810-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G65094 CA Primary

Addresses

Primary practice location

17170 Colima Rd
Suite #E
Hacienda Heights, CA 91745-6771

Mailing address

17170 Colima Rd
Suite #E
Hacienda Heights, CA 91745-6771
Phone (626) 810-5601

Other identifiers 1

IdentifierTypeStateIssuer
00G650940MedicaidCA

Other names 1

  • NONE Former legal business name

National Provider Directory

National Provider Directory

Locations

17170 Colima Rd
Ste E
Hacienda Heights, CA 91745
Phone (626) 810-5601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1083904254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17170 COLIMA RD",
            "address_2": "SUITE #E",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456771",
            "telephone_number": "626-810-5601",
            "fax_number": "626-810-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17170 COLIMA RD",
            "address_2": "SUITE #E",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456771",
            "telephone_number": "626-810-5601",
            "fax_number": "626-810-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHING CHEN M D INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHING",
        "authorized_official_middle_name": "HSIU",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "626-810-5601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G65094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G650940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.