Provider Demographics
NPI:1992018295
Name:PIAO, WENJI (LAC)
Entity Type:Individual
Prefix:
First Name:WENJI
Middle Name:
Last Name:PIAO
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 1:362 S INDIAN CANYON DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7827
Mailing Address - Country:US
Mailing Address - Phone:760-325-6618
Mailing Address - Fax:760-325-6658
Practice Address - Street 1:362 S INDIAN CANYON DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7827
Practice Address - Country:US
Practice Address - Phone:760-325-6618
Practice Address - Fax:760-325-6658
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7338171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist