MEDICARE: CHONGZHENG WEI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	36580	CA

General Provider Information

NPI Number	:	1154015717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHONGZHENG WEI

Provider Business Mailing Address
First Line	:	455 EL CAMINO REAL
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-4377
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 EL CAMINO REAL
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-4377
Country	:	US
Telephone Number	:	415-347-6216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	04/06/2026

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Directions to “ CHONGZHENG WEI ” Practice Location

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