Healthcare Provider Details
I. General information
NPI: 1851463814
Provider Name (Legal Business Name): BAIBING ZHU L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
783 RINCON AVE
LIVERMORE CA
94551-6524
US
IV. Provider business mailing address
783 RINCON AVE
LIVERMORE CA
94551-6524
US
V. Phone/Fax
- Phone: 925-455-4938
- Fax: 925-606-7398
- Phone: 925-455-4938
- Fax: 925-606-7398
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC4236 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: