Provider Demographics
NPI:1225302409
Name:ZHANG, HUA (LAC, DIPLOM, PHD)
Entity Type:Individual
Prefix:DR
First Name:HUA
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LAC, DIPLOM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 GLENN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-5808
Mailing Address - Country:US
Mailing Address - Phone:310-422-9768
Mailing Address - Fax:
Practice Address - Street 1:3011 GLENN AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-5808
Practice Address - Country:US
Practice Address - Phone:310-422-9768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14425171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist