Provider Demographics
NPI:1184876955
Name:ZHANG, LINGLING (MSW)
Entity type:Individual
Prefix:MRS
First Name:LINGLING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 WINDSONG AVE
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1953
Mailing Address - Country:US
Mailing Address - Phone:562-900-0801
Mailing Address - Fax:
Practice Address - Street 1:17610 BEACH BLVD
Practice Address - Street 2:50
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6855
Practice Address - Country:US
Practice Address - Phone:562-900-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 20272101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCS 20272OtherCALIFORNIA BBS