Provider Demographics
NPI:1306127485
Name:CHU, SARAH LIH-CHYN (LAC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LIH-CHYN
Last Name:CHU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 RADCLIFFE LANE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-3423
Mailing Address - Country:US
Mailing Address - Phone:858-603-7970
Mailing Address - Fax:
Practice Address - Street 1:3828 RADCLIFFE LANE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-3423
Practice Address - Country:US
Practice Address - Phone:858-603-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1067171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist