=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841508397
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | XING HONG CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2010
-----------------------------------------------------
Last Update Date | 09/17/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 909 S SANTA ANITA AVE STE H
-----------------------------------------------------
City | ARCADIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91006-2362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-294-2918
-----------------------------------------------------
Fax | 626-243-4707
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 909 S SANTA ANITA AVE STE H
-----------------------------------------------------
City | ARCADIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91006-2362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-294-2918
-----------------------------------------------------
Fax | 626-243-4707
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROFESOR
-----------------------------------------------------
Name | PROF. ZHEN LONG ZHENG
-----------------------------------------------------
Credential | LAC.
-----------------------------------------------------
Telephone | 626-294-2918
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC12038
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------