Provider Demographics
NPI:1548388986
Name:SUN, ZHIXIA
Entity Type:Individual
Prefix:MRS
First Name:ZHIXIA
Middle Name:
Last Name:SUN
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 1:22762 ASPAN ST
Mailing Address - Street 2:#205
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1656
Mailing Address - Country:US
Mailing Address - Phone:949-380-9899
Mailing Address - Fax:949-680-3378
Practice Address - Street 1:22762 ASPAN ST
Practice Address - Street 2:#205
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1604
Practice Address - Country:US
Practice Address - Phone:949-380-9899
Practice Address - Fax:949-680-3378
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10659171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist