Provider Demographics
NPI:1801012752
Name:CHEN, GUANG YUE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:GUANG
Middle Name:YUE
Last Name:CHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 SARATOGA AVE
Mailing Address - Street 2:BUILDING 2 STE 6
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070
Mailing Address - Country:US
Mailing Address - Phone:408-866-6065
Mailing Address - Fax:408-866-0980
Practice Address - Street 1:1848 SARATOGA AVE
Practice Address - Street 2:BUILDING 2 SUITE 6
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4160
Practice Address - Country:US
Practice Address - Phone:408-866-6065
Practice Address - Fax:408-866-0980
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA9463171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist