Provider Demographics
NPI:1922148949
Name:CHIANG, ERLENE YAN PING (LAC, PHD)
Entity Type:Individual
Prefix:
First Name:ERLENE
Middle Name:YAN PING
Last Name:CHIANG
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10124 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-3510
Mailing Address - Country:US
Mailing Address - Phone:510-524-1057
Mailing Address - Fax:510-656-5828
Practice Address - Street 1:10124 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-3510
Practice Address - Country:US
Practice Address - Phone:510-524-1057
Practice Address - Fax:510-656-5828
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2467171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist