MEDICARE: ZINNIA HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC14702	CA

General Provider Information

NPI Number	:	1578977575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZINNIA HEALTHCARE

Provider Business Mailing Address
First Line	:	10066 PACIFIC HEIGHTS BLVD
Second Line	:	STE 114
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4211
Country	:	US
Telephone Number	:	858-880-8235
Fax Number	:

Provider Business Practice Location Address
First Line	:	10066 PACIFIC HEIGHTS BLVD
Second Line	:	STE 114
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4211
Country	:	US
Telephone Number	:	858-880-8235
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ZHE HE
Credential	:	L.AC
Telephone Number	:	858-880-8235

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	06/17/2014

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Directions to “ZINNIA HEALTHCARE ” Practice Location

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