Provider Demographics
NPI:1194943597
Name:CHEN, YU MIN (OMD, LAC)
Entity type:Individual
Prefix:DR
First Name:YU
Middle Name:MIN
Last Name:CHEN
Suffix:
Gender:M
Credentials:OMD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 NORIEGA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4241
Mailing Address - Country:US
Mailing Address - Phone:415-665-3033
Mailing Address - Fax:415-665-7923
Practice Address - Street 1:2403 NORIEGA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4241
Practice Address - Country:US
Practice Address - Phone:415-665-3033
Practice Address - Fax:415-665-7923
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1117171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist