Individual
DR. GRAND GONG ZHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.
Contact information
Practice address
18938 LABIN CT STE A205-2, ROWLAND HEIGHTS, CA 91748-2285
(626) 512-6075
Mailing address
1729 E PORTNER ST, WEST COVINA, CA 91791-3545
(626) 512-6075
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6291
CA
Other
Enumeration date
08/30/2006
Last updated
09/12/2015
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