Provider Demographics
NPI:1407983729
Name:CHEN, PAUL LIGUO SR (LAC OMD PHD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:LIGUO
Last Name:CHEN
Suffix:SR
Gender:M
Credentials:LAC OMD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 PENINSULA AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010
Mailing Address - Country:US
Mailing Address - Phone:650-573-1789
Mailing Address - Fax:650-340-7188
Practice Address - Street 1:1921 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1321
Practice Address - Country:US
Practice Address - Phone:650-573-1789
Practice Address - Fax:650-340-7188
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2458171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist