Zhijing ZW Wan, AC20119

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC20119 Issued in CA

Practice address

217 Daroca Ave
San Gabriel, CA 91775-2929

Phone

(626) 487-8662

NPI assigned

Jul 20, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1942048178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DAROCA AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752929",
            "telephone_number": "626-487-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DAROCA AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752929",
            "telephone_number": "626-487-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "ZHIJING",
        "middle_name": "ZW",
        "credential": "AC20119",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC20119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Cove Care Center at San Gabriel, Inc.
• W Richard Bukata MD Inc.
• W. Richard Bukata
• Sze Man Wah, NP
• Walgreen Co
• Alice Wang, LMFT
• Chun Yeh Wang, MD.,PH.D.
• Edward Wang
• Fang Rong Wang, M.D.
• Gavin Wang, L.AC.

• Acupuncturist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.