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NPI Code Detail

MEDICARE: ZONGLIANG JIANG

MEDICARE:   ZONGLIANG  JIANG
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
1171100000XAcupuncturistAC 11661CA

General Provider Information

NPI Number : 1497903538
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZONGLIANG JIANG
Provider Business Mailing Address
First Line : 2116 S HACIENDA BLVD
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-4242
Country : US
Telephone Number : 626-616-5431
Fax Number :
Provider Business Practice Location Address
First Line : 2116 S HACIENDA BLVD
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-4242
Country : US
Telephone Number : 626-616-5431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 02/28/2012

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Directions to “ ZONGLIANG JIANG ” Practice Location

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