MEDICARE: ZHEN EN PIAO PHD L AC

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	AC8508	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CA0085080	OTHER	CA	BLUE SHIELD OF CA

General Provider Information

NPI Number	:	1518033430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHEN EN PIAO PHD L AC

Provider Business Mailing Address
First Line	:	2445 FOREST AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1523
Country	:	US
Telephone Number	:	408-247-9888
Fax Number	:	408-247-2888

Provider Business Practice Location Address
First Line	:	2445 FOREST AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1523
Country	:	US
Telephone Number	:	408-247-9888
Fax Number	:	408-247-2888

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

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	07/08/2007

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Directions to “ ZHEN EN PIAO PHD L AC” Practice Location

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