Individual
CHIA SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC. PH.D.
Contact information
Practice address
126 SUMNER AVE, UNIT 2, AVALON, CA 90704-3093
(310) 866-2608
Mailing address
425 15TH ST, UNIT 3025, MANHATTAN BEACH, CA 90266-7302
(310) 866-2608
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
AC13704
CA
171100000X
Acupuncturist
Primary
AC13407
CA
174400000X
Specialist
AC13407
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC13704
ACUPUNCTURIST
—
Enumeration date
09/04/2012
Last updated
06/26/2022
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