MEDICARE: CHON NENG IENG

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	18994	CA

General Provider Information

NPI Number	:	1912597246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHON NENG IENG

Provider Business Mailing Address
First Line	:	19153 COLIMA RD
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3003
Country	:	US
Telephone Number	:	626-327-6586
Fax Number	:

Provider Business Practice Location Address
First Line	:	19153 COLIMA RD
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3003
Country	:	US
Telephone Number	:	626-327-6586
Fax Number	:

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

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	01/20/2021

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Directions to “ CHON NENG IENG ” Practice Location

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