Healthcare Provider Details
I. General information
NPI: 1265137095
Provider Name (Legal Business Name): ROSEMEAD HEALTH ACUPUNCTURE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8811 GARVEY AVE STE 203
ROSEMEAD CA
91770-2464
US
IV. Provider business mailing address
2356 LAKE TERRACE DR
CHINO HILLS CA
91709-4839
US
V. Phone/Fax
- Phone: 626-375-1505
- Fax:
- Phone: 909-551-5905
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
XUEWEN
ZHANG
Title or Position: CEO
Credential:
Phone: 626-373-6037