Provider Demographics
NPI:1639333248
Name:ZHAO, DANBO (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:DANBO
Middle Name:
Last Name:ZHAO
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10990 WARNER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3849
Mailing Address - Country:US
Mailing Address - Phone:714-593-8881
Mailing Address - Fax:714-593-8882
Practice Address - Street 1:10990 WARNER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3849
Practice Address - Country:US
Practice Address - Phone:714-593-8881
Practice Address - Fax:714-593-8882
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2008-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6781171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist