1629163027 NPI number — MR. QING ZHU ZHANG

Table of content: MR. QING ZHU ZHANG (NPI 1629163027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629163027 NPI number — MR. QING ZHU ZHANG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZHANG
Provider First Name:
QING
Provider Middle Name:
ZHU
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629163027
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
107 E BEACON ST #C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALHAMBRA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-475-2188
Provider Business Mailing Address Fax Number:
213-587-0911

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20627 GOLDEN SPRINGS DR
Provider Second Line Business Practice Location Address:
SUITE J
Provider Business Practice Location Address City Name:
DIAMOND BAR
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91789-4814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-475-2188
Provider Business Practice Location Address Fax Number:
213-587-0911
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC8339 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AC8339 . This is a "ACUPUNCTURIST" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com