Provider Demographics
NPI:1427191899
Name:CHEN, YU YING (LICAC)
Entity Type:Individual
Prefix:MR
First Name:YU
Middle Name:YING
Last Name:CHEN
Suffix:
Gender:M
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E VALLEY BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3554
Mailing Address - Country:US
Mailing Address - Phone:626-569-1800
Mailing Address - Fax:626-569-0518
Practice Address - Street 1:311 E VALLEY BLVD STE 107
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3554
Practice Address - Country:US
Practice Address - Phone:626-569-1800
Practice Address - Fax:626-569-0518
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5704171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist