Provider Demographics
NPI:1952324949
Name:CHEN, DANIEL KWEE SU (LAC, DIPLAC(NCCAOM))
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:KWEE SU
Last Name:CHEN
Suffix:
Gender:M
Credentials:LAC, DIPLAC(NCCAOM)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 DUNCAN ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4407
Mailing Address - Country:US
Mailing Address - Phone:415-282-7672
Mailing Address - Fax:415-282-7672
Practice Address - Street 1:85 DUNCAN ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-4407
Practice Address - Country:US
Practice Address - Phone:415-282-7672
Practice Address - Fax:415-282-7672
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2385171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0023850Medicaid