Provider Demographics
NPI:1386857753
Name:ZOSA, NOEL FRANCISCO (LAC)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:FRANCISCO
Last Name:ZOSA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1750 E OCEAN BLVD UNIT 401
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-6018
Mailing Address - Country:US
Mailing Address - Phone:562-927-6777
Mailing Address - Fax:562-927-1532
Practice Address - Street 1:8337 TELEGRAPH RD STE 123
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-4942
Practice Address - Country:US
Practice Address - Phone:562-927-6777
Practice Address - Fax:562-927-1532
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11770171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist