Provider Demographics
NPI:1720111511
Name:ZHONG, SHANGYOU (OMD, LAC, PHD)
Entity Type:Individual
Prefix:DR
First Name:SHANGYOU
Middle Name:
Last Name:ZHONG
Suffix:
Gender:F
Credentials:OMD, LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 WILSHIRE BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1841
Mailing Address - Country:US
Mailing Address - Phone:310-275-8887
Mailing Address - Fax:310-205-0628
Practice Address - Street 1:9001 WILSHIRE BLVD STE 308
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1841
Practice Address - Country:US
Practice Address - Phone:310-275-8887
Practice Address - Fax:310-205-0628
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3991171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist