MEDICARE: MS. SHUJUAN ZHANG AC

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	AC9322	CA

General Provider Information

NPI Number	:	1679584452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHUJUAN ZHANG AC

Provider Business Mailing Address
First Line	:	4505 MATTNICK DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-3937
Country	:	US
Telephone Number	:	661-834-3828
Fax Number	:	661-398-8670

Provider Business Practice Location Address
First Line	:	4505 MATTNICK DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-3937
Country	:	US
Telephone Number	:	661-834-3828
Fax Number	:	661-398-8670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	02/02/2010

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