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NPI Code Detail

MEDICARE: DR. LINA ZHAN L.AC O.M.D.

MEDICARE:  DR. LINA  ZHAN  L.AC O.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC6304CA

General Provider Information

NPI Number : 1184657553
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINA ZHAN L.AC O.M.D.
Provider Business Mailing Address
First Line : 4500 CAMPUS DR
Second Line : 100
City : NEWPORT BEACH
State : CA
Zip : 92660-1814
Country : US
Telephone Number : 949-250-0098
Fax Number : 949-250-7398
Provider Business Practice Location Address
First Line : 4500 CAMPUS DR
Second Line : 100
City : NEWPORT BEACH
State : CA
Zip : 92660-1814
Country : US
Telephone Number : 949-250-0098
Fax Number : 949-250-7398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LINA ZHAN L.AC O.M.D.” Practice Location

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