Individual provider · NPI-1

Lily Chan, DC

Acupuncturist · Orange, CA

NPI number1336795277
StatusActive
Last updated in NPPESAug 23, 2019

Details

NPI
1336795277
Entity type
Individual (NPI-1)
Name
Lily Chan
Credential
DC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 15, 2019
Last updated
Aug 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist18675CAYes
111N00000X Chiropractor34600CA

Practice location

805 W La Veta Ave
Orange, CA 92868-3901

Phone 949-287-3836

Mailing address

36 Country Mile Rd
Pomona, CA 91766-6603

Phone 949-287-3836

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