Provider Demographics
NPI:1710189782
Name:ZHANG, BAO HUI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:BAO HUI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 COMSTOCK AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5320
Mailing Address - Country:US
Mailing Address - Phone:310-500-8198
Mailing Address - Fax:
Practice Address - Street 1:13050 SAN VICENTE BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-4800
Practice Address - Country:US
Practice Address - Phone:310-500-8198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7575171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist