Provider Demographics
NPI:1538292495
Name:ZHANG, ZHIYONG (LAC7034 OMD PHD)
Entity Type:Individual
Prefix:
First Name:ZHIYONG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:LAC7034 OMD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7864
Mailing Address - Street 2:SEN HEALTH STATION
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-7864
Mailing Address - Country:US
Mailing Address - Phone:626-292-5869
Mailing Address - Fax:
Practice Address - Street 1:1048 E LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776
Practice Address - Country:US
Practice Address - Phone:626-292-5869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7034171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist