Provider Demographics
NPI:1427312404
Name:CHENG, KAI-YUN KATHERINE (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:KAI-YUN
Middle Name:KATHERINE
Last Name:CHENG
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10850 WILSHIRE BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4308
Mailing Address - Country:US
Mailing Address - Phone:424-330-6682
Mailing Address - Fax:
Practice Address - Street 1:10850 WILSHIRE BLVD STE 240
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4308
Practice Address - Country:US
Practice Address - Phone:424-330-6683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1056175F00000X
CA18648171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath