Provider Demographics
NPI:1063849685
Name:TUAN, ZEN
Entity Type:Individual
Prefix:
First Name:ZEN
Middle Name:
Last Name:TUAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W GARVEY AVE STE 395
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7430
Mailing Address - Country:US
Mailing Address - Phone:626-377-9596
Mailing Address - Fax:
Practice Address - Street 1:99 S CHESTER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-5804
Practice Address - Country:US
Practice Address - Phone:626-377-9596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15628171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist