Provider Demographics
NPI:1841330479
Name:YANG, SHERRY SHENGPING (ACUPUNCTURIST)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:SHENGPING
Last Name:YANG
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1442A WALNUT ST
Mailing Address - Street 2:#339
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1405
Mailing Address - Country:US
Mailing Address - Phone:510-734-6033
Mailing Address - Fax:510-528-3485
Practice Address - Street 1:2615 ASHBY AVE
Practice Address - Street 2:#8
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2200
Practice Address - Country:US
Practice Address - Phone:510-734-6033
Practice Address - Fax:510-528-3485
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist