=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730577149
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YUESE ZHANG L.AC., MPH, DAOM(C.)
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2015
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2651 E CHAPMAN AVE STE 105
-----------------------------------------------------
City | FULLERTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92831-3738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 657-445-6494
-----------------------------------------------------
Fax | 647-445-6495
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2651 E CHAPMAN AVE STE 105
-----------------------------------------------------
City | FULLERTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92831-3738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 657-445-6494
-----------------------------------------------------
Fax | 647-445-6495
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC15859
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------