Provider Demographics
NPI:1871771022
Name:MAH, JEFFREY ZHONGXUE (PHD & MD ( CHINA))
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ZHONGXUE
Last Name:MAH
Suffix:
Gender:M
Credentials:PHD & MD ( CHINA)
Other - Prefix:
Other - First Name:ZHONGXUE
Other - Middle Name:
Other - Last Name:MA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2304 S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2214
Mailing Address - Country:US
Mailing Address - Phone:650-350-1863
Mailing Address - Fax:650-286-1965
Practice Address - Street 1:2304 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2214
Practice Address - Country:US
Practice Address - Phone:650-350-1863
Practice Address - Fax:650-286-1965
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5805171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist