Provider Demographics
NPI:1083710214
Name:CHEN, HONG PING
Entity Type:Individual
Prefix:MRS
First Name:HONG PING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:616 S DEL MAR AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-2484
Mailing Address - Country:US
Mailing Address - Phone:626-674-3634
Mailing Address - Fax:
Practice Address - Street 1:616 S DEL MAR AVE
Practice Address - Street 2:#C
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-2484
Practice Address - Country:US
Practice Address - Phone:626-286-4217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2014-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3759171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist