Healthcare Provider Details

I. General information

NPI: 1710277678
Provider Name (Legal Business Name): LING ZHANG M.D./PHD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 03/07/2023
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 28TH ST
BAKERSFIELD CA
93301-1902
US

IV. Provider business mailing address

1705 28TH ST
BAKERSFIELD CA
93301-1902
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-3008
  • Fax: 661-322-5507
Mailing address:
  • Phone: 661-322-3008
  • Fax: 661-322-5507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA158617
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberA158617
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number52852
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: