Provider Demographics
NPI:1568721884
Name:CHUY, ROGER KAI YIN (L AC)
Entity Type:Individual
Prefix:
First Name:ROGER
Middle Name:KAI YIN
Last Name:CHUY
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 7173
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-7173
Mailing Address - Country:US
Mailing Address - Phone:626-780-9829
Mailing Address - Fax:
Practice Address - Street 1:3580 SANTA ANITA AVE
Practice Address - Street 2:SUITE G
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731
Practice Address - Country:US
Practice Address - Phone:626-780-9829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 13427171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist