Provider Demographics
NPI:1033346952
Name:HOU, DA YONG (LAC)
Entity Type:Individual
Prefix:
First Name:DA YONG
Middle Name:
Last Name:HOU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9105 E LEHIGH AVE APT 67
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1933
Mailing Address - Country:US
Mailing Address - Phone:303-973-8887
Mailing Address - Fax:
Practice Address - Street 1:10268 W CENTENNIAL RD STE 201
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6424
Practice Address - Country:US
Practice Address - Phone:303-973-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1456171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist