MEDICARE: DR. DENNY TYH-CHING CHIU D.C, L.AC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	DC29913	CA
2	171100000X	Acupuncturist	AC11228	CA
3	111N00000X	Chiropractor	DC29913	CA

General Provider Information

NPI Number	:	1982679858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNY TYH-CHING CHIU D.C, L.AC

Provider Business Mailing Address
First Line	:	5553 ROSEMEAD BLVD
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1802
Country	:	US
Telephone Number	:	626-286-5800
Fax Number	:	626-286-5811

Provider Business Practice Location Address
First Line	:	5553 ROSEMEAD BLVD
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1802
Country	:	US
Telephone Number	:	626-286-5800
Fax Number	:	626-286-5811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	08/09/2019

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