Healthcare Provider Details

I. General information

NPI: 1437444767
Provider Name (Legal Business Name): JENNIFER DUAN ZHONG AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 09/22/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5241 LAMPSON AVE
GARDEN GROVE CA
92845-1953
US

IV. Provider business mailing address

8031 SUNDANCE LN
LA PALMA CA
90623-2112
US

V. Phone/Fax

Practice location:
  • Phone: 714-379-3311
  • Fax: 714-379-3313
Mailing address:
  • Phone: 714-732-9550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC8628
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC8628
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: