Provider Demographics
NPI:1275668725
Name:CHOW, HAIYAN (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:HAIYAN
Middle Name:
Last Name:CHOW
Suffix:
Gender:F
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 S DIVISADERO ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5844
Mailing Address - Country:US
Mailing Address - Phone:559-739-8711
Mailing Address - Fax:559-739-8711
Practice Address - Street 1:326 S DIVISADERO ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5844
Practice Address - Country:US
Practice Address - Phone:559-739-8711
Practice Address - Fax:559-739-8711
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4363171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist