Organization
ANDREA TIENG, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA S. TIENG MD (MD)
(909) 255-7200
Entity
Organization
Contact information
Practice address
10801 FOOTHILL BLVD STE 106, RANCHO CUCAMONGA, CA 91730-7695
(909) 255-7200
(909) 255-7215
Mailing address
10801 FOOTHILL BLVD STE 106, RANCHO CUCAMONGA, CA 91730-7695
(909) 255-7200
(909) 255-7215
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A106477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356528566
PERSONAL NPI
—
Enumeration date
05/03/2012
Last updated
01/25/2022
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