Provider Demographics
NPI:1962931980
Name:CHEN, YANN LING
Entity type:Individual
Prefix:
First Name:YANN LING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W LUPITA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4719
Mailing Address - Country:US
Mailing Address - Phone:303-419-2307
Mailing Address - Fax:
Practice Address - Street 1:221 W LUPITA RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4719
Practice Address - Country:US
Practice Address - Phone:303-419-2307
Practice Address - Fax:303-419-2307
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No374700000XNursing Service Related ProvidersTechnician
No156F00000XEye and Vision Services ProvidersTechnician/Technologist