Provider Demographics
NPI:1235275223
Name:ZHANG, RUN P (ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:RUN
Middle Name:P
Last Name:ZHANG
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 1:7940 GARVEY AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2400
Mailing Address - Country:US
Mailing Address - Phone:626-573-9102
Mailing Address - Fax:626-307-5382
Practice Address - Street 1:7940 GARVEY AVE STE 105
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2400
Practice Address - Country:US
Practice Address - Phone:626-573-9102
Practice Address - Fax:626-307-5382
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3727171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist