Provider Demographics
NPI:1629129325
Name:ZHAO, GUOHUI
Entity Type:Individual
Prefix:
First Name:GUOHUI
Middle Name:
Last Name:ZHAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 MOORPARK AVE.
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129
Mailing Address - Country:US
Mailing Address - Phone:408-255-9588
Mailing Address - Fax:408-255-9888
Practice Address - Street 1:4325 MOORPARK AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-2076
Practice Address - Country:US
Practice Address - Phone:408-255-9588
Practice Address - Fax:408-255-9888
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8972171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist