MEDICARE: MRS. SUHONG ZHU ACUPUNCTURIST

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	AC6379	CA

General Provider Information

NPI Number	:	1265511620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUHONG ZHU ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	16012 S WESTERN AVE STE 101
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-3797
Country	:	US
Telephone Number	:	310-515-0287
Fax Number	:	310-515-6286

Provider Business Practice Location Address
First Line	:	16012 S WESTERN AVE STE 101
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-3797
Country	:	US
Telephone Number	:	310-515-0287
Fax Number	:	310-515-6286

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

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	09/05/2008

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