Provider Demographics
NPI:1235761511
Name:CHANG, TIENHOU (DAIM, LAC, DIPL OM)
Entity type:Individual
Prefix:DR
First Name:TIENHOU
Middle Name:
Last Name:CHANG
Suffix:
Gender:M
Credentials:DAIM, LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 ROSEMEAD BLVD APT 18
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1959
Mailing Address - Country:US
Mailing Address - Phone:714-860-0751
Mailing Address - Fax:
Practice Address - Street 1:3845 ROSEMEAD BLVD APT 18
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1959
Practice Address - Country:US
Practice Address - Phone:714-860-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC18791171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist