Individual
RICHARD TI CHIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A41418
CA
207RI0011X
Interventional Cardiology Physician
Primary
CP202911
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A414180
—
CA
Enumeration date
11/01/2006
Last updated
12/16/2020
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