LIANG ZHANG - NPI NUMBER 1467740175

Summary

Provider Name: LIANG ZHANG

NPI Number: 1467740175

Clasification: Clinic/Center (261Q00000X)

Address:
650 W DUARTE RD # 102
ARCADIA, CA
ZIP 91007

Phone Number: (626) 203-9321



Detailed Information

LIANG ZHANG is a clinic/center in Arcadia, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). The assigned NPI number for this provider is 1467740175 and is registered as an organization entity type.

The provider's business address is:

650 W DUARTE RD # 102
ARCADIA, CA
ZIP 91007-617
Phone: (626) 203-9321
Fax: (626) 446-8699

The provider's authorized official is Liang Zhang .
The authorized official title is Self and has the following contact phone number (626) 203-9321.

The enumeration date for this NPI number is 7/14/2011 and was last updated on 7/14/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261Q00000X Clinic/Center AC 14189 CA Yes

NPI Record

No. Field Name Field Value
1 NPI 1467740175
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name LIANG ZHANG
5 Provider First Line Business Practice Location Address 650 W DUARTE RD # 102
6 Provider Business Practice Location Address City Name ARCADIA
7 Provider Business Practice Location Address State Name CA
8 Provider Business Practice Location Address Postal Code 910077617
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 6262039321
11 Provider Business Practice Location Address Fax Number 6264468699
12 Provider Enumeration Date 7/14/2011
13 Last Update Date 7/14/2011
14 Authorized Official Last Name ZHANG
15 Authorized Official First Name LIANG
16 Authorized Official Title or Position SELF
17 Authorized Official Telephone Number 6262039321
18 Healthcare Provider Taxonomy Code 1 261Q00000X
19 Provider License Number 1 AC 14189
20 Provider License Number State Code 1 CA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Authorized Official Name Prefix Text MR.
24 Authorized Official Credential Text L AC

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.