MEDICARE: ZHI PENG WANG 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	AC14554	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC14554	OTHER	CA	STATE

General Provider Information

NPI Number	:	1780021378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHI PENG WANG L.AC

Provider Business Mailing Address
First Line	:	120 S DEL MAR AVE UNIT 2176
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91778-7184
Country	:	US
Telephone Number	:	626-202-3684
Fax Number	:

Provider Business Practice Location Address
First Line	:	19267 COLIMA RD STE E
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3007
Country	:	US
Telephone Number	:	626-202-3684
Fax Number	:	626-380-1328

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

Provider Enumeration Date	:	05/23/2013
Last Update Date	:	01/03/2026

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