MEDICARE: MRS. LINGLING ZHANG MSW

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
1	101YM0800X	Mental Health Counselor	LCS 20272	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LCS 20272	OTHER	CA	CALIFORNIA BBS

General Provider Information

NPI Number	:	1184876955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINGLING ZHANG MSW

Provider Business Mailing Address
First Line	:	4911 WINDSONG AVE
Second Line	:
City	:	LA PALMA
State	:	CA
Zip	:	90623-1953
Country	:	US
Telephone Number	:	562-900-0801
Fax Number	:

Provider Business Practice Location Address
First Line	:	17610 BEACH BLVD
Second Line	:	50
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6855
Country	:	US
Telephone Number	:	562-900-0801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2008
Last Update Date	:	10/10/2008

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