# WALTER WAI-TAK CHIEN MD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982762993
- **Authorized official:** WALTER WAI-TAK CHIEN M.D. (PRESIDENT)
- **Authorized official phone:** (209) 529-0758

## Contact information

- **Practice address:** 2013 COFFEE ROAD, MODESTO, CA 95355-2405
- **Practice address phone:** (209) 529-0758
- **Practice address fax:** (209) 529-8524
- **Mailing address:** 2013 COFFEE ROAD, MODESTO, CA 95355-2405
- **Mailing address phone:** (209) 529-0758
- **Mailing address fax:** (209) 529-8524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | G56242 | CA | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 02/13/2020