Provider Demographics
NPI:1013958412
Name:CHIEU, CHANG WEI (DC LAC)
Entity Type:Individual
Prefix:DR
First Name:CHANG
Middle Name:WEI
Last Name:CHIEU
Suffix:
Gender:M
Credentials:DC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 CIMARRON DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-1307
Mailing Address - Country:US
Mailing Address - Phone:408-749-1232
Mailing Address - Fax:408-749-1002
Practice Address - Street 1:1288 KIFER RD STE 210
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5328
Practice Address - Country:US
Practice Address - Phone:408-749-1232
Practice Address - Fax:408-749-1002
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29344111N00000X
CAAC10702171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist