Provider Demographics
NPI:1417285669
Name:TORNOW, CHI HYON (LAC)
Entity Type:Individual
Prefix:DR
First Name:CHI HYON
Middle Name:
Last Name:TORNOW
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1593 KINGMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2825
Mailing Address - Country:US
Mailing Address - Phone:408-425-3361
Mailing Address - Fax:408-298-4497
Practice Address - Street 1:51 E CAMPBELL AVE STE 106I
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2054
Practice Address - Country:US
Practice Address - Phone:408-425-3361
Practice Address - Fax:408-298-4497
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13028171100000X
106583171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist