Healthcare Provider Details

I. General information

NPI: 1427231463
Provider Name (Legal Business Name): BINGBING ZHU LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 W ORANGE AVE STE 507
ANAHEIM CA
92804
US

IV. Provider business mailing address

13813 DESTINO STREET
CERRITOS CA
90703-9023
US

V. Phone/Fax

Practice location:
  • Phone: 562-607-2571
  • Fax:
Mailing address:
  • Phone: 562-404-9767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number7184
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: