MEDICARE: MISS CHENG-JUNG CHEN 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	171100000X	Acupuncturist	AC13337	CA

General Provider Information

NPI Number	:	1497084024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHENG-JUNG CHEN L.AC.

Provider Business Mailing Address
First Line	:	22706 ASPAN ST
Second Line	:	SUITE 504
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-1603
Country	:	US
Telephone Number	:	949-454-2820
Fax Number	:

Provider Business Practice Location Address
First Line	:	22706 ASPAN ST
Second Line	:	SUITE 504
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-1603
Country	:	US
Telephone Number	:	949-454-2820
Fax Number	:

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

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	01/22/2010

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Directions to “ MISS CHENG-JUNG CHEN L.AC.” Practice Location

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