Provider Demographics
NPI:1407665698
Name:CHIANG, EMMA MARIE (DACM, LAC)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:MARIE
Last Name:CHIANG
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BUSH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5273
Mailing Address - Country:US
Mailing Address - Phone:650-451-5249
Mailing Address - Fax:
Practice Address - Street 1:1801 BUSH ST STE 120
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5273
Practice Address - Country:US
Practice Address - Phone:650-451-5249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20145171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist