Provider Demographics
NPI:1205950276
Name:YANG, KUANG CHEN (LAC)
Entity type:Individual
Prefix:
First Name:KUANG
Middle Name:CHEN
Last Name:YANG
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 1:623 W. DUARTE RD
Mailing Address - Street 2:2A
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7337
Mailing Address - Country:US
Mailing Address - Phone:408-807-9965
Mailing Address - Fax:
Practice Address - Street 1:623 W DUARTE RD
Practice Address - Street 2:2A
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7330
Practice Address - Country:US
Practice Address - Phone:408-807-9965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9818171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist