| Doctor Name: | SHIRLEY WAN YU CHIANG |
| NPI Number: | 1003173410 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NPF21408 |
| Business Practice Address: | 506 W Valley Blvd San Gabriel, CA - 917763731 |
| Business Phone Number: | 6263083800 |
| Business Fax Number: | 6263081899 |
| Mailing Address: | 506 W Valley Blvd, SAN GABRIEL |
| State: | CA |
| Postal Code: | 917763731 |
| Phone Number: | 6263083800 |
| Fax Number: | 6263081899 |
| NPI Enumeration Date: | 04/23/2012 |
| NPI Last Update Date: | 09/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NPF21408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |