Provider Demographics
NPI:1750748174
Name:CHUANG, YA LAN
Entity type:Individual
Prefix:
First Name:YA LAN
Middle Name:
Last Name:CHUANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18351 COLIMA RD STE 142
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2791
Mailing Address - Country:US
Mailing Address - Phone:626-248-6339
Mailing Address - Fax:
Practice Address - Street 1:18351 COLIMA RD STE 142
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2791
Practice Address - Country:US
Practice Address - Phone:626-248-6339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15493171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist