Provider Demographics
NPI:1619996915
Name:CHEN, JUNZHI (LAC)
Entity Type:Individual
Prefix:MR
First Name:JUNZHI
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 W LINCOLN AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5426
Mailing Address - Country:US
Mailing Address - Phone:714-635-6990
Mailing Address - Fax:714-635-6880
Practice Address - Street 1:1842 W LINCOLN AVE
Practice Address - Street 2:SUITE H
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5426
Practice Address - Country:US
Practice Address - Phone:714-635-6990
Practice Address - Fax:714-635-6880
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8543171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist