=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326521329
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JNZ MEDICAL ACUPUNCTURE CENTER, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2018
-----------------------------------------------------
Last Update Date | 11/06/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2451 JUDAH ST
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94122-1435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-340-3260
-----------------------------------------------------
Fax | 877-672-8403
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 709 WOODSIDE WAY APT A
-----------------------------------------------------
City | SAN MATEO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94401-1686
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-580-8697
-----------------------------------------------------
Fax | 877-672-8403
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED ACUPUNCTURIST
-----------------------------------------------------
Name | VINCENT SHI XING ZHOU
-----------------------------------------------------
Credential | L.AC.
-----------------------------------------------------
Telephone | 650-580-8697
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------