Provider Demographics
NPI:1417008343
Name:YE, LIHONG (LAC)
Entity type:Individual
Prefix:MISS
First Name:LIHONG
Middle Name:
Last Name:YE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:1790 CLEAR LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7014
Mailing Address - Country:US
Mailing Address - Phone:408-586-8026
Mailing Address - Fax:408-586-8026
Practice Address - Street 1:1790 CLEAR LAKE AVE
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7014
Practice Address - Country:US
Practice Address - Phone:408-586-8026
Practice Address - Fax:408-586-8026
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC9093171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417008343Medicare PIN