Healthcare Provider Details

I. General information

NPI: 1366965030
Provider Name (Legal Business Name): HEALING WITH ZEN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E WALNUT ST STE 134
PASADENA CA
91101-1554
US

IV. Provider business mailing address

221 E WALNUT ST STE 134
PASADENA CA
91101-1554
US

V. Phone/Fax

Practice location:
  • Phone: 626-377-9596
  • Fax:
Mailing address:
  • Phone: 626-377-9596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC15628
License Number StateCA

VIII. Authorized Official

Name: ZEN TUAN
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 626-377-9596