Provider Demographics
NPI:1871792994
Name:YUH, CHIAWEN (LAC)
Entity type:Individual
Prefix:
First Name:CHIAWEN
Middle Name:
Last Name:YUH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:YUH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:12470 E WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602
Mailing Address - Country:US
Mailing Address - Phone:562-693-4800
Mailing Address - Fax:
Practice Address - Street 1:12470 E WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602
Practice Address - Country:US
Practice Address - Phone:562-693-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9519171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9519OtherACUPUNCTURIST