Healthcare Provider Details

I. General information

NPI: 1427166792
Provider Name (Legal Business Name): MRS. QI ZHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47866 WARM SPRINGS BLVD
FREMONT CA
94539-7459
US

IV. Provider business mailing address

47866 WARM SPRINGS BLVD
FREMONT CA
94539-7459
US

V. Phone/Fax

Practice location:
  • Phone: 510-651-8837
  • Fax: 510-353-0811
Mailing address:
  • Phone: 510-651-8837
  • Fax: 510-353-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 10509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: