Provider Demographics
NPI:1336296466
Name:ZHENG, JING SHU (LAC, PHD)
Entity type:Individual
Prefix:MISS
First Name:JING
Middle Name:SHU
Last Name:ZHENG
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 PACIFIC COAST HWY STE B
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6656
Mailing Address - Country:US
Mailing Address - Phone:310-517-9299
Mailing Address - Fax:
Practice Address - Street 1:3525 PACIFIC COAST HWY STE B
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6656
Practice Address - Country:US
Practice Address - Phone:310-517-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10310171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist