Provider Demographics
NPI:1740352939
Name:SHEU, MATTHEW INGJIUNN (L AC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:INGJIUNN
Last Name:SHEU
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100A S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3810
Mailing Address - Country:US
Mailing Address - Phone:650-343-8220
Mailing Address - Fax:650-340-0046
Practice Address - Street 1:100A S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3810
Practice Address - Country:US
Practice Address - Phone:650-343-8220
Practice Address - Fax:650-340-0046
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA10970171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist