Provider Demographics
NPI:1114092855
Name:CHEN, CHINSHU (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHINSHU
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 S WOLFE RD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4855
Mailing Address - Country:US
Mailing Address - Phone:408-733-9898
Mailing Address - Fax:408-736-2882
Practice Address - Street 1:1539 S WOLFE RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4855
Practice Address - Country:US
Practice Address - Phone:408-733-9898
Practice Address - Fax:408-736-2882
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC859171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist