Provider Demographics
NPI:1255524617
Name:CHIANG, YU-CHIH (LAC)
Entity type:Individual
Prefix:
First Name:YU-CHIH
Middle Name:
Last Name:CHIANG
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 1:1848 SARATOGA AVE
Mailing Address - Street 2:BLDG2 STE5
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6612
Mailing Address - Country:US
Mailing Address - Phone:408-370-2828
Mailing Address - Fax:408-370-2800
Practice Address - Street 1:1848 SARATOGA AVE
Practice Address - Street 2:BLDG2 STE5
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6612
Practice Address - Country:US
Practice Address - Phone:408-370-2828
Practice Address - Fax:408-370-2800
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8240171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC 8240OtherCA LICENSED ACUPUNCTURIST