Provider Demographics
NPI:1922796432
Name:CHIANG, ERIC KEE HUI (LAC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:KEE HUI
Last Name:CHIANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 CAROLDALE LN
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1550
Mailing Address - Country:US
Mailing Address - Phone:805-403-9222
Mailing Address - Fax:
Practice Address - Street 1:6450 CAROLDALE LN
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-1550
Practice Address - Country:US
Practice Address - Phone:805-403-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17648171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist