Provider Demographics
NPI:1457488678
Name:ZHAO, GUI-JUN (OMD, PH D)
Entity Type:Individual
Prefix:
First Name:GUI-JUN
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:OMD, PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7040 TRASK AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-2622
Mailing Address - Country:US
Mailing Address - Phone:714-890-3638
Mailing Address - Fax:
Practice Address - Street 1:7040 TRASK AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-2622
Practice Address - Country:US
Practice Address - Phone:714-890-3638
Practice Address - Fax:714-890-6012
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 5776171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist