Healthcare Provider Details

I. General information

NPI: 1841508397
Provider Name (Legal Business Name): XING HONG CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 S SANTA ANITA AVE STE H
ARCADIA CA
91006-2362
US

IV. Provider business mailing address

909 S SANTA ANITA AVE STE H
ARCADIA CA
91006-2362
US

V. Phone/Fax

Practice location:
  • Phone: 626-294-2918
  • Fax: 626-243-4707
Mailing address:
  • Phone: 626-294-2918
  • Fax: 626-243-4707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC12038
License Number StateCA

VIII. Authorized Official

Name: PROF. ZHEN LONG ZHENG
Title or Position: PROFESOR
Credential: LAC.
Phone: 626-294-2918