Provider Demographics
NPI:1902960289
Name:ZHANG, YUNWEN
Entity Type:Individual
Prefix:
First Name:YUNWEN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1681
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-0781
Mailing Address - Country:US
Mailing Address - Phone:310-480-6902
Mailing Address - Fax:310-542-7598
Practice Address - Street 1:500 S SEPULVEDA BLVD
Practice Address - Street 2:#202
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-6948
Practice Address - Country:US
Practice Address - Phone:310-480-6902
Practice Address - Fax:310-542-7598
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL.AC4439171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist