Provider Demographics
NPI:1437460037
Name:ZHANG, DONG XIA (PH D)
Entity Type:Individual
Prefix:MS
First Name:DONG
Middle Name:XIA
Last Name:ZHANG
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 621
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91778
Mailing Address - Country:US
Mailing Address - Phone:626-348-1755
Mailing Address - Fax:626-458-9991
Practice Address - Street 1:182. S. SUNRISE WAY
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:626-348-1755
Practice Address - Fax:626-458-9991
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12288171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist