Provider Demographics
NPI:1558549410
Name:CHIU, EVA (DC)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:YEH-FANG
Other - Middle Name:
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1200 BRITTAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3931
Mailing Address - Country:US
Mailing Address - Phone:650-591-1002
Mailing Address - Fax:
Practice Address - Street 1:1200 BRITTAN AVE
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-3931
Practice Address - Country:US
Practice Address - Phone:650-591-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-03
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU98141Medicare UPIN