Healthcare Provider Details

I. General information

NPI: 1275917973
Provider Name (Legal Business Name): SEN ZHUGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 CAMINO RAMON STE 200
SAN RAMON CA
94583-2000
US

IV. Provider business mailing address

2301 CAMINO RAMON STE 200
SAN RAMON CA
94583-2000
US

V. Phone/Fax

Practice location:
  • Phone: 925-365-1753
  • Fax:
Mailing address:
  • Phone: 925-365-1753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberL.AC 16002
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: