Provider Demographics
NPI:1225738883
Name:YE, ZHONGYI (LAC)
Entity Type:Individual
Prefix:MR
First Name:ZHONGYI
Middle Name:
Last Name:YE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 STREAMWOOD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1922
Mailing Address - Country:US
Mailing Address - Phone:949-345-9362
Mailing Address - Fax:
Practice Address - Street 1:2 OSBORN ST STE 160
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-8676
Practice Address - Country:US
Practice Address - Phone:949-345-9362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19685171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist