Provider Demographics
NPI:1316235864
Name:JNZ MEDICAL GROUP, LLC
Entity type:Organization
Organization Name:JNZ MEDICAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:SHI XING
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-580-8697
Mailing Address - Street 1:709A WOODSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1686
Mailing Address - Country:US
Mailing Address - Phone:650-580-8697
Mailing Address - Fax:650-579-5984
Practice Address - Street 1:709A WOODSIDE WAY
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-1686
Practice Address - Country:US
Practice Address - Phone:650-580-8697
Practice Address - Fax:650-579-5984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13784261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center