Provider Demographics
NPI:1609928324
Name:CHEN, YOUFENG Y (LAC)
Entity Type:Individual
Prefix:MS
First Name:YOUFENG
Middle Name:Y
Last Name:CHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3164 PUTNAM BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-1868
Mailing Address - Country:US
Mailing Address - Phone:925-930-9782
Mailing Address - Fax:
Practice Address - Street 1:3164 PUTNAM BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-1868
Practice Address - Country:US
Practice Address - Phone:925-930-9782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9232171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist