Healthcare Provider Details

I. General information

NPI: 1255656187
Provider Name (Legal Business Name): CINDY ERXIN ZHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERXIN ZHANG

II. Dates (important events)

Enumeration Date: 04/03/2010
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MILVIA ST
BERKELEY CA
94704-2636
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-5514
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA130979
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: