Provider Demographics
NPI:1437444767
Name:ZHONG, JENNIFER DUAN (AC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:DUAN
Last Name:ZHONG
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8031 SUNDANCE LN
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-2112
Mailing Address - Country:US
Mailing Address - Phone:714-732-9550
Mailing Address - Fax:
Practice Address - Street 1:5241 LAMPSON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1953
Practice Address - Country:US
Practice Address - Phone:714-379-3311
Practice Address - Fax:714-379-3313
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC8628171100000X
CAAC8628171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist