MEDICARE: YAO CHEN

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	171100000X	Acupuncturist	AC19073

General Provider Information

NPI Number	:	1386228856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAO CHEN

Provider Business Mailing Address
First Line	:	104 AMBER OAKS LN
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91741-6618
Country	:	US
Telephone Number	:	626-905-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 AMBER OAKS LN
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91741-6618
Country	:	US
Telephone Number	:	626-905-9990
Fax Number	:

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

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	05/10/2021

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Directions to “ YAO CHEN ” Practice Location

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