Provider Demographics
NPI:1811242423
Name:CHEN, YUNG-HSIANG (LAC)
Entity type:Individual
Prefix:MR
First Name:YUNG-HSIANG
Middle Name:
Last Name:CHEN
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 1:2255 SHOWERS DR
Mailing Address - Street 2:APT271
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-1277
Mailing Address - Country:US
Mailing Address - Phone:650-399-6499
Mailing Address - Fax:
Practice Address - Street 1:2255 SHOWERS DR
Practice Address - Street 2:APT271
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-1277
Practice Address - Country:US
Practice Address - Phone:650-399-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14819171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist