Individual
DR. CHIVANO CHHIENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 499-2777
(619) 557-2770
Mailing address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 499-2777
(619) 557-2770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A71847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P161722
KAISER PERMANENTE
CA
Enumeration date
12/04/2006
Last updated
06/17/2013
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