Provider Demographics
NPI:1467034389
Name:ZHAO, YINGXIN N/A
Entity Type:Individual
Prefix:
First Name:YINGXIN
Middle Name:N/A
Last Name:ZHAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 NORTHWOOD CIR UNIT E
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4608
Mailing Address - Country:US
Mailing Address - Phone:415-519-3751
Mailing Address - Fax:
Practice Address - Street 1:1120 2ND ST STE A
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2234
Practice Address - Country:US
Practice Address - Phone:925-513-8883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19082171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist