Healthcare Provider Details

I. General information

NPI: 1689913287
Provider Name (Legal Business Name): HILDA ZHANG NATUROPATHICESTHETIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 09/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2389 S HACIENDA BLVD
HACIENDA HEIGHTS CA
91745-4613
US

IV. Provider business mailing address

2389 S HACIENDA BLVD
HACIENDA HEIGHTS CA
91745-4613
US

V. Phone/Fax

Practice location:
  • Phone: 626-893-2198
  • Fax: 626-333-7578
Mailing address:
  • Phone: 626-893-2198
  • Fax: 626-333-7578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number6653
License Number StateZZ
# 3
Primary TaxonomyN
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number169459
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number169459
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number6653
License Number StateZZ
# 6
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: