Healthcare Provider Details

I. General information

NPI: 1376744300
Provider Name (Legal Business Name): LIPING ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 12/11/2019
Certification Date: 12/11/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 E ST
EUREKA CA
95501-4331
US

IV. Provider business mailing address

2831 E ST
EUREKA CA
95501
US

V. Phone/Fax

Practice location:
  • Phone: 707-599-4140
  • Fax:
Mailing address:
  • Phone: 707-599-4140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number9989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: