Provider Demographics
NPI:1699095653
Name:PANG, HSIAOZHUANG (LAC)
Entity type:Individual
Prefix:MS
First Name:HSIAOZHUANG
Middle Name:
Last Name:PANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1089 DERBYSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-5002
Mailing Address - Country:US
Mailing Address - Phone:408-830-6757
Mailing Address - Fax:
Practice Address - Street 1:1698 S WOLFE RD STE 100
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4868
Practice Address - Country:US
Practice Address - Phone:408-830-6757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 13547171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist