Provider Demographics
NPI:1902126899
Name:CHI, DAVID HSINMIN (L AC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HSINMIN
Last Name:CHI
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:309 ALVARADO AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1708
Mailing Address - Country:US
Mailing Address - Phone:650-949-3768
Mailing Address - Fax:650-949-3768
Practice Address - Street 1:309 ALVARADO AVE
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1708
Practice Address - Country:US
Practice Address - Phone:650-949-3768
Practice Address - Fax:650-949-3768
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4566171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist