Provider Demographics
NPI:1104035369
Name:LEE, JAMES CHEN-YU (LAC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHEN-YU
Last Name:LEE
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 1:47185 ARMATA ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7438
Mailing Address - Country:US
Mailing Address - Phone:510-226-0603
Mailing Address - Fax:
Practice Address - Street 1:1669 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6200
Practice Address - Country:US
Practice Address - Phone:408-942-7479
Practice Address - Fax:408-942-7416
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11704171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist