Healthcare Provider Details

I. General information

NPI: 1932240991
Provider Name (Legal Business Name): DR. HONG JI ZHONG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1943 NORIEGA ST
SAN FRANCISCO CA
94122-4215
US

IV. Provider business mailing address

2647 20TH AVE
SAN FRANCISCO CA
94116-3012
US

V. Phone/Fax

Practice location:
  • Phone: 415-504-6826
  • Fax: 415-504-6826
Mailing address:
  • Phone: 415-504-6826
  • Fax: 415-504-6826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number7678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: