Individual
DR. ANDREA S. TIENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
241597
NY
207RG0100X
Gastroenterology Physician
Primary
A106477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241597
MEDICAL LICENSE
NY
01
—
A106477
MEDICAL LICENSE
CA
Enumeration date
01/30/2008
Last updated
01/27/2022
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