1649441585 NPI number — SHUN SHENG CHEN L.A.C., O.M.D.

NPI Number: 1649441585
Health Care Provider/Practitioner: SHUN SHENG CHEN L.A.C., O.M.D.

NPI Number : 1649441585 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649441585",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEN",
    "FirstName": "SHUN",
    "MiddleName": "SHENG",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "L.A.C., O.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHEN",
    "OtherFirstName": "SAMUEL",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "L.A.C., O.M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "9179 VALLEY VIEW ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CYPRESS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90630-5803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-527-0099",
    "MailingAddressFaxNumber": "714-821-1610",
    "FirstLinePracticeLocationAddress": "9179 VALLEY VIEW ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CYPRESS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90630-5803",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-527-0099",
    "PracticeLocationAddressFaxNumber": "714-821-1610",
    "EnumerationDate": "03/19/2008",
    "LastUpdateDate": "03/19/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC 10052",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC 10353",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}