Provider Demographics
NPI:1124785274
Name:ZOU, YONGJING
Entity type:Individual
Prefix:
First Name:YONGJING
Middle Name:
Last Name:ZOU
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 1:36616 NEWARK BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3055
Mailing Address - Country:US
Mailing Address - Phone:510-766-8410
Mailing Address - Fax:
Practice Address - Street 1:36616 NEWARK BLVD STE B
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-3055
Practice Address - Country:US
Practice Address - Phone:510-766-8410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC19267171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist