Provider Demographics
NPI:1003111980
Name:CHIU, MING (L AC)
Entity Type:Individual
Prefix:MS
First Name:MING
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
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Mailing Address - Street 1:4712 ADMIRALTY WAY
Mailing Address - Street 2:SUITE 829
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292
Mailing Address - Country:US
Mailing Address - Phone:310-739-3166
Mailing Address - Fax:310-439-1982
Practice Address - Street 1:4712 ADMIRALTY WAY
Practice Address - Street 2:SUITE 829
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-6905
Practice Address - Country:US
Practice Address - Phone:310-739-3166
Practice Address - Fax:310-439-1982
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA7671171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist