Provider Demographics
NPI:1679021299
Name:CHO, FULIANG (L AC)
Entity Type:Individual
Prefix:MR
First Name:FULIANG
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:MR
Other - First Name:KENNETH
Other - Middle Name:
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5812 MCKELLAR DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-4127
Mailing Address - Country:US
Mailing Address - Phone:408-646-3121
Mailing Address - Fax:
Practice Address - Street 1:809 W WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5925
Practice Address - Country:US
Practice Address - Phone:408-646-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16222171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist