Provider Demographics
NPI:1124593124
Name:ZINN, APINYA CHOTIPONG (LMT)
Entity Type:Individual
Prefix:MRS
First Name:APINYA
Middle Name:CHOTIPONG
Last Name:ZINN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:APINYA
Other - Middle Name:
Other - Last Name:CHOTIPONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14927 S DENKER AVE
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3111
Mailing Address - Country:US
Mailing Address - Phone:562-362-1302
Mailing Address - Fax:
Practice Address - Street 1:16012 S WESTERN AVE STE 101
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3797
Practice Address - Country:US
Practice Address - Phone:310-869-9437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2018-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73572225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA73572OtherLMT