Provider Demographics
NPI:1649634684
Name:CEN, YUWEN
Entity type:Individual
Prefix:
First Name:YUWEN
Middle Name:
Last Name:CEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 HAMLIN LOOP
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2620
Mailing Address - Country:US
Mailing Address - Phone:415-290-6198
Mailing Address - Fax:
Practice Address - Street 1:310 HAMLIN LOOP
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2620
Practice Address - Country:US
Practice Address - Phone:415-290-6198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16858171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist