Healthcare Provider Details

I. General information

NPI: 1447698022
Provider Name (Legal Business Name): YING ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 AUTO CENTER DR STE 108
FOOTHILL RANCH CA
92610-2848
US

IV. Provider business mailing address

5132 MAPLEWOOD AVE APT 202
LOS ANGELES CA
90004-1583
US

V. Phone/Fax

Practice location:
  • Phone: 949-855-8948
  • Fax: 800-665-1218
Mailing address:
  • Phone: 626-380-6808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14915
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: