Healthcare Provider Details

I. General information

NPI: 1003263310
Provider Name (Legal Business Name): ZHIHONG ACUPUNCTURE CLINIC CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 N GLASSELL ST, SUITE B
ORANGE CA
92865
US

IV. Provider business mailing address

2950 N GLASSELL ST, SUITE B
ORANGE CA
92865
US

V. Phone/Fax

Practice location:
  • Phone: 714-858-0952
  • Fax: 714-998-6499
Mailing address:
  • Phone: 714-858-0952
  • Fax: 714-998-6499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberAC 7249
License Number StateCA

VIII. Authorized Official

Name: MS. ZHIHONG XIE
Title or Position: CEO
Credential:
Phone: 714-858-0952