Provider Demographics
NPI:1447815121
Name:ZHU, HUIJIANG
Entity type:Individual
Prefix:
First Name:HUIJIANG
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 S 1ST AVE # A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3832
Mailing Address - Country:US
Mailing Address - Phone:626-407-3031
Mailing Address - Fax:626-407-3031
Practice Address - Street 1:511 S 1ST AVE # A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3832
Practice Address - Country:US
Practice Address - Phone:626-407-3031
Practice Address - Fax:626-407-3031
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty