Provider Demographics
NPI:1679936777
Name:NEX'S TRADITIONAL CHINESE MEDICINE
Entity Type:Organization
Organization Name:NEX'S TRADITIONAL CHINESE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAONING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:I
Authorized Official - Credentials:D
Authorized Official - Phone:909-629-8787
Mailing Address - Street 1:1150 N GAREY AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-3804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1150 N GAREY AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767
Practice Address - Country:US
Practice Address - Phone:909-629-8787
Practice Address - Fax:909-629-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14956171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC14956OtherBLUE CROSS PPO, BULE SHIELD PPO, AETNA PPO, KAISER-PERMANENTE, ECT.
CAAC14956Medicaid
CAAC14956OtherUNIFED HEALTH CARE, HEALTH NET, CIGNA, NET WORK, MEDICARE.