Healthcare Provider Details

I. General information

NPI: 1982174504
Provider Name (Legal Business Name): YING ZHANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 11/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HUNTINGTON DR., SUITE 607
ARCADIA CA
91007
US

IV. Provider business mailing address

959 E. WALNUT ST., SUITE 120
PASADENA CA
91106
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-4558
  • Fax:
Mailing address:
  • Phone: 626-912-1653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP95010276
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: