Provider Demographics
NPI:1265612394
Name:YEH, CHIAO (PHD, MA LAC)
Entity type:Individual
Prefix:DR
First Name:CHIAO
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:PHD, MA LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 ROSSO CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6327
Mailing Address - Country:US
Mailing Address - Phone:925-998-7126
Mailing Address - Fax:925-461-7485
Practice Address - Street 1:591 ROSSO CT
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6327
Practice Address - Country:US
Practice Address - Phone:925-998-7126
Practice Address - Fax:925-461-7485
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11952171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist