Provider Demographics
NPI:1720121726
Name:ZHANG, XIAOXING (LAC, PHD, OMD)
Entity Type:Individual
Prefix:DR
First Name:XIAOXING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LAC, PHD, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17514 VENTURA BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3852
Mailing Address - Country:US
Mailing Address - Phone:818-990-9990
Mailing Address - Fax:818-990-9904
Practice Address - Street 1:17514 VENTURA BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3852
Practice Address - Country:US
Practice Address - Phone:818-990-9990
Practice Address - Fax:818-990-9904
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1332LAC171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1332LACOtherACUPUNTURE STATE LICENSE