Provider Demographics
NPI:1124409008
Name:JNZ MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:JNZ MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:650-580-8697
Mailing Address - Street 1:709 WOODSIDE WAY APT A
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1686
Mailing Address - Country:US
Mailing Address - Phone:650-580-8697
Mailing Address - Fax:877-672-8403
Practice Address - Street 1:1828 EL CAMINO REAL
Practice Address - Street 2:STE. 804
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3103
Practice Address - Country:US
Practice Address - Phone:650-580-8697
Practice Address - Fax:877-672-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13784171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty