Provider Demographics
NPI:1710367198
Name:DENG, HAIYING (MASTER OF TCM)
Entity Type:Individual
Prefix:MS
First Name:HAIYING
Middle Name:
Last Name:DENG
Suffix:
Gender:F
Credentials:MASTER OF TCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 IVY HILL WAY APT 1425
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4325
Mailing Address - Country:US
Mailing Address - Phone:714-350-5186
Mailing Address - Fax:
Practice Address - Street 1:1726 N VASCO RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9218
Practice Address - Country:US
Practice Address - Phone:925-583-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16467171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist