Provider Demographics
NPI:1992029573
Name:CHEN, HELEN SHAO-CHEN CHANG (LAC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:SHAO-CHEN CHANG
Last Name:CHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:SHAO-CHEN
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1167 LANDSBURN CIR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-3729
Mailing Address - Country:US
Mailing Address - Phone:626-678-5998
Mailing Address - Fax:
Practice Address - Street 1:1167 LANDSBURN CIR
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-3729
Practice Address - Country:US
Practice Address - Phone:626-678-5998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11816171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist