Provider Demographics
NPI:1790181535
Name:ZHANG, JING
Entity Type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17451 BASTANCHURY RD STE 101F
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-1870
Mailing Address - Country:US
Mailing Address - Phone:714-223-6888
Mailing Address - Fax:714-223-6886
Practice Address - Street 1:17451 BASTANCHURY RD STE 101F
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-1870
Practice Address - Country:US
Practice Address - Phone:714-223-6888
Practice Address - Fax:714-223-6886
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor