Provider Demographics
NPI:1447544531
Name:YEN, CHIEN-KAI (DC)
Entity type:Individual
Prefix:
First Name:CHIEN-KAI
Middle Name:
Last Name:YEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:CHIEN-KAI
Other - Middle Name:
Other - Last Name:YEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1879 LUNDY AVE
Mailing Address - Street 2:SUITE #236
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1856
Mailing Address - Country:US
Mailing Address - Phone:408-893-2562
Mailing Address - Fax:
Practice Address - Street 1:1879 LUNDY AVE
Practice Address - Street 2:SUITE #236
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1856
Practice Address - Country:US
Practice Address - Phone:408-893-2562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor