Provider Demographics
NPI:1003011198
Name:AM ROYAL MEDICAL CENTER
Entity Type:Organization
Organization Name:AM ROYAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:310-533-8168
Mailing Address - Street 1:2340 PLAZA DEL AMO
Mailing Address - Street 2:# 205
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3445
Mailing Address - Country:US
Mailing Address - Phone:310-666-5820
Mailing Address - Fax:
Practice Address - Street 1:2340 PLAZA DEL AMO
Practice Address - Street 2:# 205
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3445
Practice Address - Country:US
Practice Address - Phone:310-666-5820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC2196510171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherACUPUNCTURE