MEDICARE: MS. YIMMING CHAN L.AC, DIPL.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	AC11188	CA

General Provider Information

NPI Number	:	1871668475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YIMMING CHAN L.AC, DIPL.AC.

Provider Business Mailing Address
First Line	:	11095 LA PALOMA DR
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95014-4717
Country	:	US
Telephone Number	:	408-930-6901
Fax Number	:

Provider Business Practice Location Address
First Line	:	1848 SARATOGA AVE
Second Line	:	BLDG 6-A
City	:	SARATOGA
State	:	CA
Zip	:	95070-6612
Country	:	US
Telephone Number	:	408-930-6901
Fax Number	:

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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Directions to “ MS. YIMMING CHAN L.AC, DIPL.AC.” Practice Location

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