Provider Demographics
NPI:1215142922
Name:ZHANG, JI (L AC, OMD)
Entity type:Individual
Prefix:DR
First Name:JI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:L AC, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 LEDA LN
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-4257
Mailing Address - Country:US
Mailing Address - Phone:626-446-7286
Mailing Address - Fax:626-446-7286
Practice Address - Street 1:886 W FOOTHILL BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3769
Practice Address - Country:US
Practice Address - Phone:909-946-2673
Practice Address - Fax:909-946-1872
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4715171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist