Provider Demographics
NPI:1265505069
Name:HUANG, ZHEN ZHONG (LAC PHD)
Entity Type:Individual
Prefix:DR
First Name:ZHEN ZHONG
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:LAC PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4506
Mailing Address - Country:US
Mailing Address - Phone:415-379-9863
Mailing Address - Fax:415-681-2768
Practice Address - Street 1:3900 GEARY BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3261
Practice Address - Country:US
Practice Address - Phone:415-379-9863
Practice Address - Fax:415-681-2768
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4103171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0041030OtherMEDI-CAL PROVIDER ID
CA663524OtherASHP DOC ID