Healthcare Provider Details

I. General information

NPI: 1063752566
Provider Name (Legal Business Name): DAVID ZENG D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2013
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 S GLENDORA AVE
WEST COVINA CA
91790-4202
US

IV. Provider business mailing address

19782 ARBOR RIDGE DR
WALNUT CA
91789-5314
US

V. Phone/Fax

Practice location:
  • Phone: 626-960-5096
  • Fax: 626-814-8630
Mailing address:
  • Phone: 626-244-9597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32524
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: