Individual
DR. CHARLIE Y CHUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM, L.AC.
Contact information
Practice address
15338 CENTRAL AVE # 109, CHINO, CA 91710
(909) 693-4768
Mailing address
15596 LANYARD LN, CHINO HILLS, CA 91709-8709
(909) 693-4768
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A9522014
CA DRIVER LICENSE
CA
01
—
AC13164
CA ACUPUNCTURE LICENSE
CA
Enumeration date
02/05/2010
Last updated
06/20/2019
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