Provider Demographics
NPI:1184866832
Name:ZHANG, LIJUAN (L AC)
Entity Type:Individual
Prefix:
First Name:LIJUAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20790 4TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5896
Mailing Address - Country:US
Mailing Address - Phone:408-834-2228
Mailing Address - Fax:
Practice Address - Street 1:20956 HOMESTEAD RD STE E
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0358
Practice Address - Country:US
Practice Address - Phone:408-725-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9819171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist