Provider Demographics
NPI:1508995515
Name:ZHANG, QIANQIAN
Entity Type:Individual
Prefix:
First Name:QIANQIAN
Middle Name:
Last Name:ZHANG
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 1:253 JUNIPERO SERRA DR APT A
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1265
Mailing Address - Country:US
Mailing Address - Phone:626-300-8577
Mailing Address - Fax:
Practice Address - Street 1:253 JUNIPERO SERRA DR APT A
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1265
Practice Address - Country:US
Practice Address - Phone:626-300-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist