Provider Demographics
NPI:1427873728
Name:CHIEN, CHIA-LING (RDN)
Entity type:Individual
Prefix:MISS
First Name:CHIA-LING
Middle Name:
Last Name:CHIEN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MISS
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:CHIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN
Mailing Address - Street 1:2130 LACY CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4935
Mailing Address - Country:US
Mailing Address - Phone:917-818-9125
Mailing Address - Fax:
Practice Address - Street 1:2130 LACY CROSSING DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4935
Practice Address - Country:US
Practice Address - Phone:917-818-9125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86449120133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered