Ellen Caoyuan Zhang | Tustin, CA • PECOS Search

Ellen Caoyuan Zhang

Acupuncturist

Other Service Providers

17621 Irvine Blvd # 118, Tustin, CA 92780-3114

PECOS Enrollment

Based on the most recent information from CMS, provider Ellen Caoyuan Zhang does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1518632793
Provider Type
Individual
Full Name
Zhang, Ellen Caoyuan
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/10/2021
Last Updated
1/5/2024

Contact Information

Practice Location

17621 Irvine Blvd # 118, Tustin, CA 92780-3114

Unlisted Fax

Mailing Location

17621 Irvine Blvd # 118, Tustin, CA 92780-3114

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC19169 California