Provider Demographics
NPI:1003957507
Name:CHEN, YONG PING (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:YONG PING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2342 LOMITA ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6631
Mailing Address - Country:US
Mailing Address - Phone:805-389-0333
Mailing Address - Fax:805-389-0309
Practice Address - Street 1:2342 LOMITA ST
Practice Address - Street 2:SUITE C
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6631
Practice Address - Country:US
Practice Address - Phone:805-389-0333
Practice Address - Fax:805-389-0309
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8599171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist