Provider Demographics
NPI:1902925050
Name:ZHANG MARSHALL, LIHUA (PHD, LIC AC)
Entity Type:Individual
Prefix:
First Name:LIHUA
Middle Name:
Last Name:ZHANG MARSHALL
Suffix:
Gender:F
Credentials:PHD, LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 WESTWOOD BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4938
Mailing Address - Country:US
Mailing Address - Phone:310-445-6584
Mailing Address - Fax:310-445-6584
Practice Address - Street 1:1441 WESTWOOD BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4938
Practice Address - Country:US
Practice Address - Phone:310-445-6584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5177171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC5177Medicare UPIN