Healthcare Provider Details

I. General information

NPI: 1982679858
Provider Name (Legal Business Name): DENNY TYH-CHING CHIU D.C, L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 08/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5553 ROSEMEAD BLVD
TEMPLE CITY CA
91780-1802
US

IV. Provider business mailing address

5553 ROSEMEAD BLVD
TEMPLE CITY CA
91780-1802
US

V. Phone/Fax

Practice location:
  • Phone: 626-286-5800
  • Fax: 626-286-5811
Mailing address:
  • Phone: 626-286-5800
  • Fax: 626-286-5811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC29913
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11228
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: