Provider Demographics
NPI:1356670186
Name:YEW, KENG FUNG (LAC)
Entity Type:Individual
Prefix:
First Name:KENG
Middle Name:FUNG
Last Name:YEW
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 1:1124 ENCINO AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-4446
Mailing Address - Country:US
Mailing Address - Phone:626-446-1594
Mailing Address - Fax:
Practice Address - Street 1:1124 ENCINO AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-4446
Practice Address - Country:US
Practice Address - Phone:626-446-1594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13207171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist