Provider Demographics
NPI:1265511620
Name:ZHU, SUHONG (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MRS
First Name:SUHONG
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16012 S WESTERN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3797
Mailing Address - Country:US
Mailing Address - Phone:310-515-0287
Mailing Address - Fax:310-515-6286
Practice Address - Street 1:16012 S WESTERN AVE STE 101
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3797
Practice Address - Country:US
Practice Address - Phone:310-515-0287
Practice Address - Fax:310-515-6286
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6379171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist