Provider Demographics
NPI:1326548348
Name:Y CLARE ZHANG PRACTICE OF ORIENTAL MEDICINE LLC
Entity Type:Organization
Organization Name:Y CLARE ZHANG PRACTICE OF ORIENTAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YUAN CLARE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:520-306-1076
Mailing Address - Street 1:1122 E INDIAN WELLS RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1144
Mailing Address - Country:US
Mailing Address - Phone:520-306-1076
Mailing Address - Fax:
Practice Address - Street 1:6650 N ORACLE RD STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5604
Practice Address - Country:US
Practice Address - Phone:520-320-1953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty