Individual provider Active NPI

Shin Hee Cho Van Lieu, L.AC

  • Acupuncturist
  • Daly City, CA
National Provider Identifier
1720383409
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 13119 Issued in CA
Practice address
341 Westlake Ctr
Suite 261
Daly City, CA 94015-1441
Phone
(650) 784-3155
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 13119 CA Primary

Addresses

Primary practice location

341 Westlake Ctr
Suite 261
Daly City, CA 94015-1441

Mailing address

26 Mayfield Ave
Daly City, CA 94015-3959
Phone (650) 784-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 13119CAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1720383409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MAYFIELD AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153959",
            "telephone_number": "650-784-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR",
            "address_2": "SUITE 261",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151441",
            "telephone_number": "650-784-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LIEU",
        "first_name": "SHIN HEE",
        "middle_name": "CHO",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.