Provider Demographics
NPI:1427231463
Name:ZHU, BINGBING (LAC)
Entity Type:Individual
Prefix:MS
First Name:BINGBING
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13813 DESTINO STREET
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9023
Mailing Address - Country:US
Mailing Address - Phone:562-404-9767
Mailing Address - Fax:
Practice Address - Street 1:3010 W ORANGE AVE
Practice Address - Street 2:STE 507
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804
Practice Address - Country:US
Practice Address - Phone:562-607-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7184171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist