Provider Demographics
NPI:1154043693
Name:ZION ACUPUNCTURE,INC
Entity type:Organization
Organization Name:ZION ACUPUNCTURE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHANGWON
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-645-7257
Mailing Address - Street 1:4806 TEAL WING CT APT 301
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2193
Mailing Address - Country:US
Mailing Address - Phone:240-645-7257
Mailing Address - Fax:
Practice Address - Street 1:4806 TEAL WING CT APT 301
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2193
Practice Address - Country:US
Practice Address - Phone:240-645-7257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty