Provider Demographics
NPI:1013056811
Name:ZHANG, SHARLENE XIAOLING (LAC)
Entity Type:Individual
Prefix:MS
First Name:SHARLENE
Middle Name:XIAOLING
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 SAN BRUNO AVE W RM 3
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-3400
Mailing Address - Country:US
Mailing Address - Phone:650-866-3396
Mailing Address - Fax:650-875-0769
Practice Address - Street 1:861 SAN BRUNO AVE W RM 3
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3400
Practice Address - Country:US
Practice Address - Phone:650-866-3396
Practice Address - Fax:650-875-0769
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5118171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist