Provider Demographics
NPI:1518033430
Name:PIAO, ZHEN EN (PHD L AC)
Entity Type:Individual
Prefix:
First Name:ZHEN EN
Middle Name:
Last Name:PIAO
Suffix:
Gender:M
Credentials:PHD L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1523
Mailing Address - Country:US
Mailing Address - Phone:408-247-9888
Mailing Address - Fax:408-247-2888
Practice Address - Street 1:2445 FOREST AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1523
Practice Address - Country:US
Practice Address - Phone:408-247-9888
Practice Address - Fax:408-247-2888
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8508171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0085080Medicaid
CACA0085080OtherBLUE SHIELD OF CA