Healthcare Provider Details

I. General information

NPI: 1326182908
Provider Name (Legal Business Name): YU ZHANG ACUPUNCTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 S HUDSON AVE SUITE 4
PASADENA CA
91101-2614
US

IV. Provider business mailing address

133 S HUDSON AVE SUITE 4
PASADENA CA
91101-2614
US

V. Phone/Fax

Practice location:
  • Phone: 626-449-5511
  • Fax: 626-449-5515
Mailing address:
  • Phone: 626-449-5511
  • Fax: 626-449-5515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3989
License Number StateCA

VIII. Authorized Official

Name: YU ZHANG
Title or Position: CEO
Credential: L.AC.
Phone: 626-449-5511