Provider Demographics
NPI:1134898406
Name:ZHONG, FLORA QINGLING
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:QINGLING
Last Name:ZHONG
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 1:5002 ACACIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-2103
Mailing Address - Country:US
Mailing Address - Phone:626-297-6109
Mailing Address - Fax:
Practice Address - Street 1:5002 ACACIA ST
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-2103
Practice Address - Country:US
Practice Address - Phone:626-297-6109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102029171R00000X
CA102772171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter