Provider Demographics
NPI:1629142906
Name:CHEN, HELEN FAN (L ACUPUNCTURIST)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:FAN
Last Name:CHEN
Suffix:
Gender:F
Credentials:L ACUPUNCTURIST
Other - Prefix:MRS
Other - First Name:XIANG YING
Other - Middle Name:
Other - Last Name:FAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:L ACUPUNCTURIST
Mailing Address - Street 1:PO BOX 14288
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-1588
Mailing Address - Country:US
Mailing Address - Phone:510-656-0588
Mailing Address - Fax:510-656-1888
Practice Address - Street 1:46537 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7993
Practice Address - Country:US
Practice Address - Phone:510-656-0588
Practice Address - Fax:510-656-1888
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7782171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist