Healthcare Provider Details

I. General information

NPI: 1417879982
Provider Name (Legal Business Name): YING CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20320 TOWN CENTER LN UNIT 805
CUPERTINO CA
95014-3264
US

IV. Provider business mailing address

20320 TOWN CENTER LN UNIT 805
CUPERTINO CA
95014-3264
US

V. Phone/Fax

Practice location:
  • Phone: 669-226-0099
  • Fax:
Mailing address:
  • Phone: 669-226-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number19803
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: