Provider Demographics
NPI:1679784151
Name:YIH, FE TER (ACUPUNTURIST)
Entity Type:Individual
Prefix:
First Name:FE
Middle Name:TER
Last Name:YIH
Suffix:
Gender:M
Credentials:ACUPUNTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15404 HOLLIS ST
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-3321
Mailing Address - Country:US
Mailing Address - Phone:626-831-0990
Mailing Address - Fax:626-369-5285
Practice Address - Street 1:1121 E VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3610
Practice Address - Country:US
Practice Address - Phone:626-288-3355
Practice Address - Fax:626-288-3711
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist