Organization Name: | DONG YOU HEALTH CENTER |
NPI Number: | 1457725343 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAI YU CHEN (LAC) |
Mailing Address: | 10904 Freer St Temple City |
State: | CA US |
Postal Code: | 917803540 |
Phone Number: | 6268418628 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | 01-773443 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |