Provider Demographics
NPI:1255753497
Name:ZHANG, WEI (LACMS)
Entity type:Individual
Prefix:MS
First Name:WEI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LACMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1449 PARK AVE, SUITE #1
Mailing Address - Street 2:ROSE GARDEN MEDICAL GROUP INC
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126
Mailing Address - Country:US
Mailing Address - Phone:408-418-6058
Mailing Address - Fax:
Practice Address - Street 1:1449 PARK AVE, SUITE #1
Practice Address - Street 2:ROSE GARDEN MEDICAL GROUP INC
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126
Practice Address - Country:US
Practice Address - Phone:408-418-6058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15780171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist