Provider Demographics
NPI:1609830108
Name:TSO, YULIEN (LAC, DIPLOM)
Entity Type:Individual
Prefix:
First Name:YULIEN
Middle Name:
Last Name:TSO
Suffix:
Gender:F
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 SHATTO PL
Mailing Address - Street 2:APT 14
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1707
Mailing Address - Country:US
Mailing Address - Phone:213-382-6955
Mailing Address - Fax:
Practice Address - Street 1:1137 2ND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5011
Practice Address - Country:US
Practice Address - Phone:310-434-1904
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10673171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist