Provider Demographics
NPI:1093398299
Name:CHAPLIN, CYNTHIA (LAC, DACM)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:CHAPLIN
Suffix:
Gender:F
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 HOPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1215
Mailing Address - Country:US
Mailing Address - Phone:760-643-7099
Mailing Address - Fax:
Practice Address - Street 1:626 JEFFERSON AVE STE 3
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1726
Practice Address - Country:US
Practice Address - Phone:760-643-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19078171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist