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 Field Definition 1
1 NPI 1467740175 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name LIANG ZHANG The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 650 W DUARTE RD # 102 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name ARCADIA The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 910077617 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 6262039321 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 6264468699 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 7/14/2011 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 7/14/2011 The date that a record was last updated or changed.
14 Authorized Official Last Name ZHANG The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name LIANG The first name of the authorized official.
16 Authorized Official Title or Position SELF The title or position of the authorized official.
17 Authorized Official Telephone Number 6262039321 The 10-position telephone number of the authorized official.
18 Healthcare Provider Taxonomy Code 1 261Q00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 AC 14189 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 CA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
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: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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