Provider Demographics
NPI:1376860569
Name:CHEN'S ABC ACUPUNCTURE
Entity Type:Organization
Organization Name:CHEN'S ABC ACUPUNCTURE
Other - Org Name:ABC ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JING
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-828-5401
Mailing Address - Street 1:18526 VINA DR
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95033-9103
Mailing Address - Country:US
Mailing Address - Phone:408-828-5401
Mailing Address - Fax:
Practice Address - Street 1:2542 SOUTH BASCOM AVE STREET
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008
Practice Address - Country:US
Practice Address - Phone:408-828-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHEN'S ABC ACUPUNCTURE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-27
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8652171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty