MEDICARE: GUODONG ZHANG CLINIC

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1245089887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUODONG ZHANG CLINIC

Provider Business Mailing Address
First Line	:	1012 S BALDWIN AVE STE A
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-7287
Country	:	US
Telephone Number	:	626-519-2575
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 S BALDWIN AVE STE A
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-7287
Country	:	US
Telephone Number	:	626-519-2575
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	GUODONG ZHANG
Credential	:	LAC, DAIM
Telephone Number	:	626-519-2575

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	05/15/2024

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