Provider Demographics
NPI:1245089887
Name:GUODONG ZHANG CLINIC
Entity type:Organization
Organization Name:GUODONG ZHANG CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GUODONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DAIM
Authorized Official - Phone:626-519-2575
Mailing Address - Street 1:1012 S BALDWIN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7287
Mailing Address - Country:US
Mailing Address - Phone:626-519-2575
Mailing Address - Fax:
Practice Address - Street 1:1012 S BALDWIN AVE STE A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7287
Practice Address - Country:US
Practice Address - Phone:626-519-2575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL NATURAL DEVELOPMENT GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty