Provider Demographics
NPI:1740629484
Name:HE, ZHE (LAC)
Entity type:Individual
Prefix:
First Name:ZHE
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10066 PACIFIC HEIGHTS BLVD
Mailing Address - Street 2:SUITE114
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-4211
Mailing Address - Country:US
Mailing Address - Phone:858-880-8235
Mailing Address - Fax:
Practice Address - Street 1:10066 PACIFIC HEIGHTS BLVD
Practice Address - Street 2:SUITE114
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4211
Practice Address - Country:US
Practice Address - Phone:858-880-8235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-16
Last Update Date:2013-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14702171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist