Provider Demographics
NPI:1962635474
Name:ZHANG, ZHONGHUA
Entity Type:Individual
Prefix:
First Name:ZHONGHUA
Middle Name:
Last Name:ZHANG
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 1:40788 FREMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-4373
Mailing Address - Country:US
Mailing Address - Phone:510-440-1088
Mailing Address - Fax:510-979-0618
Practice Address - Street 1:40788 FREMONT BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-4373
Practice Address - Country:US
Practice Address - Phone:510-440-1088
Practice Address - Fax:510-979-0618
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13139171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist