Provider Demographics
NPI:1679864672
Name:ZUO, ERICK
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:
Last Name:ZUO
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 1:1080 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-2400
Mailing Address - Country:US
Mailing Address - Phone:408-839-7398
Mailing Address - Fax:408-885-9808
Practice Address - Street 1:1080 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-2400
Practice Address - Country:US
Practice Address - Phone:408-839-7398
Practice Address - Fax:408-885-9808
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14165171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist