Provider Demographics
NPI:1023122108
Name:YUEN, GAMI (MS, LAC)
Entity type:Individual
Prefix:MS
First Name:GAMI
Middle Name:
Last Name:YUEN
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10431 COMMERCE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-2833
Mailing Address - Country:US
Mailing Address - Phone:909-796-7700
Mailing Address - Fax:
Practice Address - Street 1:10431 COMMERCE ST
Practice Address - Street 2:SUITE A
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2833
Practice Address - Country:US
Practice Address - Phone:909-796-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8027171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist