MEDICARE: MING QING ZHU 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	3993	CA

General Provider Information

NPI Number	:	1790810836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MING QING ZHU L.AC.

Provider Business Mailing Address
First Line	:	1754 TECHNOLOGY DR
Second Line	:	SUITE 225
City	:	SAN JOSE
State	:	CA
Zip	:	95110-1308
Country	:	US
Telephone Number	:	408-885-1288
Fax Number	:	408-885-0488

Provider Business Practice Location Address
First Line	:	1754 TECHNOLOGY DR
Second Line	:	SUITE 225
City	:	SAN JOSE
State	:	CA
Zip	:	95110-1308
Country	:	US
Telephone Number	:	408-885-1288
Fax Number	:	408-885-0488

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

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	07/08/2007

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