Provider Demographics
NPI:1518258672
Name:ZHU, HONGYAN
Entity Type:Individual
Prefix:
First Name:HONGYAN
Middle Name:
Last Name:ZHU
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 1:275 HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-1338
Mailing Address - Country:US
Mailing Address - Phone:415-813-7909
Mailing Address - Fax:628-899-8666
Practice Address - Street 1:1011 TARAVAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2424
Practice Address - Country:US
Practice Address - Phone:415-664-4909
Practice Address - Fax:628-899-8666
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14186171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AC14186OtherSTATE OF CALIFORNIA ACUPUNCTURE BOARD
AC14186OtherSTATE OF CALIFORNIA ACUPUNCTURE BOARD