Provider Demographics
NPI:1376959486
Name:CHI, YUN-LONG (LAC)
Entity Type:Individual
Prefix:
First Name:YUN-LONG
Middle Name:
Last Name:CHI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12957 PALMS WEST DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4932
Mailing Address - Country:US
Mailing Address - Phone:561-596-1281
Mailing Address - Fax:561-328-6493
Practice Address - Street 1:12957 PALMS WEST DR STE 201
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470
Practice Address - Country:US
Practice Address - Phone:561-429-8238
Practice Address - Fax:561-328-6493
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3449171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist