Provider Demographics
NPI:1942630736
Name:CHAN, KAR WEI
Entity Type:Individual
Prefix:MISS
First Name:KAR WEI
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 GRAND COULEE AVE
Mailing Address - Street 2:APT 4
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5918
Mailing Address - Country:US
Mailing Address - Phone:408-738-8586
Mailing Address - Fax:
Practice Address - Street 1:1630 OAKLAND RD
Practice Address - Street 2:A115
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2449
Practice Address - Country:US
Practice Address - Phone:408-425-4113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46-3040584171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist