Provider Demographics
NPI:1841678059
Name:ZHANG, JIE
Entity type:Individual
Prefix:
First Name:JIE
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9960 BALDWIN PL
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2204
Mailing Address - Country:US
Mailing Address - Phone:323-644-3880
Mailing Address - Fax:323-644-3892
Practice Address - Street 1:9960 BALDWIN PL
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2204
Practice Address - Country:US
Practice Address - Phone:323-644-3880
Practice Address - Fax:323-644-3892
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator