Provider Demographics
NPI:1508294562
Name:YEH, CHUNG HSIUNG DANNY
Entity Type:Individual
Prefix:
First Name:CHUNG HSIUNG
Middle Name:DANNY
Last Name:YEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5811 ETTERSBERG DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3514
Mailing Address - Country:US
Mailing Address - Phone:408-666-5699
Mailing Address - Fax:
Practice Address - Street 1:5811 ETTERSBERG DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3514
Practice Address - Country:US
Practice Address - Phone:408-666-5699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15670171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist