Provider Demographics
NPI:1528204617
Name:ZHAO ACUPUNCTURE
Entity Type:Organization
Organization Name:ZHAO ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIZHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-296-9300
Mailing Address - Street 1:1101 S WINCHESTER BLVD
Mailing Address - Street 2:STE D-144
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-3901
Mailing Address - Country:US
Mailing Address - Phone:408-296-9300
Mailing Address - Fax:408-350-6170
Practice Address - Street 1:1101 S WINCHESTER BLVD
Practice Address - Street 2:STE D-144
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3901
Practice Address - Country:US
Practice Address - Phone:408-296-9300
Practice Address - Fax:408-350-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 5713171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty