Healthcare Provider Details

I. General information

NPI: 1356642888
Provider Name (Legal Business Name): HONG ZHU ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2010
Last Update Date: 11/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34924 NEWARK BLVD
NEWARK CA
94560-1216
US

IV. Provider business mailing address

34924 NEWARK BLVD
NEWARK CA
94560-1216
US

V. Phone/Fax

Practice location:
  • Phone: 510-505-9988
  • Fax: 510-505-9988
Mailing address:
  • Phone: 510-505-9988
  • Fax: 510-505-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number6821
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: