Provider Demographics
NPI:1750946315
Name:CHIEN, YAWRUEY (LAC)
Entity type:Individual
Prefix:
First Name:YAWRUEY
Middle Name:
Last Name:CHIEN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:RAY
Other - Middle Name:
Other - Last Name:CHIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:43959 BOSTON CT
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6343
Mailing Address - Country:US
Mailing Address - Phone:925-766-5291
Mailing Address - Fax:
Practice Address - Street 1:1885 LUNDY AVE STE 220
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1888
Practice Address - Country:US
Practice Address - Phone:510-438-0829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18542171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist