Provider Demographics
NPI:1346858388
Name:TSENG, CHING YAO (DAOM LAC)
Entity Type:Individual
Prefix:DR
First Name:CHING YAO
Middle Name:
Last Name:TSENG
Suffix:
Gender:M
Credentials:DAOM LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-0951
Mailing Address - Country:US
Mailing Address - Phone:415-425-9826
Mailing Address - Fax:
Practice Address - Street 1:763 POLHEMUS RD
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-4064
Practice Address - Country:US
Practice Address - Phone:415-425-9826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17776171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist