Provider Demographics
NPI:1013971977
Name:MAU, LI-HSUEH CHANG (LAC)
Entity Type:Individual
Prefix:MRS
First Name:LI-HSUEH
Middle Name:CHANG
Last Name:MAU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 WHITEBICK DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3052
Mailing Address - Country:US
Mailing Address - Phone:408-871-6878
Mailing Address - Fax:
Practice Address - Street 1:1263 E ARQUES AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4701
Practice Address - Country:US
Practice Address - Phone:408-871-6878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-16
Last Update Date:2015-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6069171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist