Provider Information for 1669975793
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BOYANG ERIC ZHANG LPCC
Sex: Male
NPI: 1669975793
Last Updated: 2023-05-05
Certification Date: 2023-05-05
Certification Date: 2023-05-05
Details
| Name | Value | ||||||||||||
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| NPI | 1669975793 | ||||||||||||
| Enumeration Date | 2018-03-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 13990 RIVERGLEN DR EASTVALE, CA 92880-3847 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 5174 COLLARD AVE FONTANA, CA 92336-4755 United States Phone: 626-818-8223 | Fax: | ||||||||||||
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