Provider Demographics
NPI:1871034066
Name:CHEN ACUPUNCTURE AND WELLNESS, LLC
Entity Type:Organization
Organization Name:CHEN ACUPUNCTURE AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEI CHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-492-2338
Mailing Address - Street 1:723 S GARFIELD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4429
Mailing Address - Country:US
Mailing Address - Phone:626-492-2338
Mailing Address - Fax:626-656-6255
Practice Address - Street 1:723 S GARFIELD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4429
Practice Address - Country:US
Practice Address - Phone:626-492-2338
Practice Address - Fax:626-656-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty