Provider Demographics
NPI:1083417778
Name:HAN, ZHE
Entity type:Individual
Prefix:
First Name:ZHE
Middle Name:
Last Name:HAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10241 MIRA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2704
Mailing Address - Country:US
Mailing Address - Phone:669-269-8272
Mailing Address - Fax:
Practice Address - Street 1:10241 MIRA VISTA RD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2704
Practice Address - Country:US
Practice Address - Phone:669-269-8272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC20229171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist