Provider Demographics
NPI:1932450541
Name:CHEN, JANICE (DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:DR
Other - First Name:JING
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DAOM, LAC
Mailing Address - Street 1:3560 HUGHES AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-8204
Mailing Address - Country:US
Mailing Address - Phone:310-927-3581
Mailing Address - Fax:
Practice Address - Street 1:1131 WILSHIRE BLVD
Practice Address - Street 2:STE 300
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2061
Practice Address - Country:US
Practice Address - Phone:310-917-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12610171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist