Provider Demographics
NPI:1518018449
Name:ZHENG, DONGSHUN (LAC)
Entity type:Individual
Prefix:MS
First Name:DONGSHUN
Middle Name:
Last Name:ZHENG
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 1:12760 W WASHINGTON BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-2313
Mailing Address - Country:US
Mailing Address - Phone:310-577-9457
Mailing Address - Fax:310-577-9457
Practice Address - Street 1:12760 W WASHINGTON BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-2313
Practice Address - Country:US
Practice Address - Phone:310-577-9457
Practice Address - Fax:310-577-9457
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC9441171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist