Provider Demographics
NPI:1578790374
Name:TSUN, CHIEH YANG (AC)
Entity Type:Individual
Prefix:MR
First Name:CHIEH
Middle Name:YANG
Last Name:TSUN
Suffix:
Gender:M
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16501 OLD FOREST RD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-3747
Mailing Address - Country:US
Mailing Address - Phone:626-715-9880
Mailing Address - Fax:
Practice Address - Street 1:16501 OLD FOREST RD
Practice Address - Street 2:
Practice Address - City:HACIENDA HTS
Practice Address - State:CA
Practice Address - Zip Code:91745-3747
Practice Address - Country:US
Practice Address - Phone:626-715-9880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 12849171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist