Provider Demographics
NPI:1184477648
Name:ZHONG, REINA YONGXIN
Entity type:Individual
Prefix:
First Name:REINA
Middle Name:YONGXIN
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 1:19251 E VALLEY VIEW ST
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-3118
Mailing Address - Country:US
Mailing Address - Phone:626-203-5259
Mailing Address - Fax:
Practice Address - Street 1:19251 E VALLEY VIEW ST
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3118
Practice Address - Country:US
Practice Address - Phone:626-203-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC19890171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist