Provider Demographics
NPI:1689337834
Name:CHAN, CHIA-HUA (DC)
Entity type:Individual
Prefix:
First Name:CHIA-HUA
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHIA-HUA
Other - Middle Name:
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR CHIA-HUA,CHAN DC
Mailing Address - Street 1:3909 STEVENSON BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3909 STEVENSON BLVD STE D
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2301
Practice Address - Country:US
Practice Address - Phone:510-585-3824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor