Provider Demographics
NPI:1447592100
Name:CHEN, CHUN-HSU (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:CHUN-HSU
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:1118 CADILLAC CT
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3058
Mailing Address - Country:US
Mailing Address - Phone:408-586-9988
Mailing Address - Fax:
Practice Address - Street 1:1118 CADILLAC CT
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3058
Practice Address - Country:US
Practice Address - Phone:408-586-9988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002110171100000X
WANT00001177175F00000X
WAOT00002216225X00000X
CAND592175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist