Most Relevant Information
Provider Data
| NPI Number: | 1003173410 |
| Provider Name: | SHIRLEY WAN YU CHIANG NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NPF21408 |
Most Important Dates
| Enumeration Date: | 04/23/2012 |
| Last Updated: | 09/20/2012 |
Provider Practice Location
506 W VALLEY BLVD
SAN GABRIEL
CA
917763731
Practice Location Phone/Fax
| Phone: | 6263083800 |
| Fax: | 6263081899 |
Provider Mailing Location
506 W VALLEY BLVD
SAN GABRIEL
CA
917763731
Provider Mailing Phone/Fax
| Phone: | 6263083800 |
| Fax: | 6263081899 |