Provider Demographics
NPI:1023250297
Name:ZHU, JIALI
Entity type:Individual
Prefix:MS
First Name:JIALI
Middle Name:
Last Name:ZHU
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 1:1236 CORTEZ DR
Mailing Address - Street 2:APT 12
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5672
Mailing Address - Country:US
Mailing Address - Phone:408-973-8179
Mailing Address - Fax:650-965-2080
Practice Address - Street 1:10201 IMPERIAL AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-5946
Practice Address - Country:US
Practice Address - Phone:408-973-8179
Practice Address - Fax:650-965-2080
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13043171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist