Provider Demographics
NPI:1407613094
Name:ZHANG, XIAOMEI (CMT)
Entity Type:Individual
Prefix:
First Name:XIAOMEI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23962 ALESSANDRO BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-8806
Mailing Address - Country:US
Mailing Address - Phone:714-642-9386
Mailing Address - Fax:
Practice Address - Street 1:23962 ALESSANDRO BLVD STE J
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-8806
Practice Address - Country:US
Practice Address - Phone:714-642-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
173C00000X, 225X00000X, 172M00000X
CA57746225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No172M00000XOther Service ProvidersMechanotherapist