Provider Demographics
NPI:1629163027
Name:ZHANG, QING ZHU
Entity Type:Individual
Prefix:MR
First Name:QING
Middle Name:ZHU
Last Name:ZHANG
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 1:107 E BEACON ST #C
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801
Mailing Address - Country:US
Mailing Address - Phone:626-475-2188
Mailing Address - Fax:213-587-0911
Practice Address - Street 1:20627 GOLDEN SPRINGS DR
Practice Address - Street 2:SUITE J
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91789-4814
Practice Address - Country:US
Practice Address - Phone:626-475-2188
Practice Address - Fax:213-587-0911
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8339171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC8339OtherACUPUNCTURIST