Healthcare Provider Details

I. General information

NPI: 1851637227
Provider Name (Legal Business Name): DZOGCHEN HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2012
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12948 VILLAGE DR. SUITE C
SARATOGA CA
95070
US

IV. Provider business mailing address

12948 VILLAGE DR. SUITE C
SARATOGA CA
95070
US

V. Phone/Fax

Practice location:
  • Phone: 650-619-3516
  • Fax: 650-362-1932
Mailing address:
  • Phone: 650-619-3516
  • Fax: 650-362-1932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MS. LINGYUN ZHU
Title or Position: OWNER
Credential: L.AC
Phone: 650-619-3516