Provider Demographics
NPI:1013200088
Name:TONG ZHANG ACUPUNCTURE
Entity Type:Organization
Organization Name:TONG ZHANG ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:510-628-0638
Mailing Address - Street 1:599 9TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3837
Mailing Address - Country:US
Mailing Address - Phone:510-628-0638
Mailing Address - Fax:
Practice Address - Street 1:599 9TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3837
Practice Address - Country:US
Practice Address - Phone:510-628-0638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8618171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA672664OtherOPTUM HEALTH
CA0086180OtherBLUE SHIELD OF CALIFORNIA
CA0086181OtherBLUE SHIELD OF CALIFORNIA
CA1037997OtherAMERICAN SPECIALTY HEALTH PLANS OF CALIFORNIA