Healthcare Provider Details

I. General information

NPI: 1700516515
Provider Name (Legal Business Name): HE ZHEN REN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 ONTARIO STREET
VANCOUVER BRITISH COLUMBIA
V5Y 0C1
CA

IV. Provider business mailing address

1649 ONTARIO STREET
VANCOUVER BRITISH COLUMBIA
V5Y 0C1
CA

V. Phone/Fax

Practice location:
  • Phone: 226-350-9815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: