Provider Demographics
NPI:1225366594
Name:ZHU, YAN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:YAN
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14805 JEFFREY RD SUITE# G
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-0406
Mailing Address - Country:US
Mailing Address - Phone:949-786-9284
Mailing Address - Fax:
Practice Address - Street 1:14805 JEFFREY RD STE G
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-0407
Practice Address - Country:US
Practice Address - Phone:949-786-9284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6987171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist