Provider Demographics
NPI:1609053925
Name:ZHENG, JIANG (L AC)
Entity Type:Individual
Prefix:
First Name:JIANG
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 OBERLIN DR., STE#110
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2791
Mailing Address - Country:US
Mailing Address - Phone:858-546-1008
Mailing Address - Fax:
Practice Address - Street 1:5850 OBERLIN DR STE 110
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4710
Practice Address - Country:US
Practice Address - Phone:858-546-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8355171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist