Provider Demographics
NPI:1194192948
Name:CHEN, TIFFANY WUU (DC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:WUU
Last Name:CHEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18575 E. GALE AVE, UNIT 265
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748
Mailing Address - Country:US
Mailing Address - Phone:626-623-8684
Mailing Address - Fax:626-608-2665
Practice Address - Street 1:18575 E. GALE AVE, UNIT 265
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748
Practice Address - Country:US
Practice Address - Phone:626-623-8684
Practice Address - Fax:626-608-2665
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33361111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor