Provider Demographics
NPI:1629351234
Name:YEH, CHAO-CHENG (PHD, LAC)
Entity Type:Individual
Prefix:
First Name:CHAO-CHENG
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1879 LUNDY AVE STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1881
Mailing Address - Country:US
Mailing Address - Phone:408-837-1685
Mailing Address - Fax:408-620-4594
Practice Address - Street 1:1879 LUNDY AVE STE 213
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1881
Practice Address - Country:US
Practice Address - Phone:408-837-1685
Practice Address - Fax:408-620-4594
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14437171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist