Healthcare Provider Details

I. General information

NPI: 1124409008
Provider Name (Legal Business Name): JNZ MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1828 EL CAMINO REAL STE. 804
BURLINGAME CA
94010-3103
US

IV. Provider business mailing address

709 WOODSIDE WAY APT A
SAN MATEO CA
94401-1686
US

V. Phone/Fax

Practice location:
  • Phone: 650-580-8697
  • Fax: 877-672-8403
Mailing address:
  • Phone: 650-580-8697
  • Fax: 877-672-8403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13784
License Number StateCA

VIII. Authorized Official

Name: MR. VINCENT ZHOU
Title or Position: OWNER
Credential: L.AC.
Phone: 650-580-8697