Healthcare Provider Details

I. General information

NPI: 1104066331
Provider Name (Legal Business Name): ZONG CHIA YANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 02/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 INDEPENDENCE CIR
CHICO CA
95973-0381
US

IV. Provider business mailing address

10 INDEPENDENCE CIR
CHICO CA
95973-0381
US

V. Phone/Fax

Practice location:
  • Phone: 530-345-1600
  • Fax: 530-345-1685
Mailing address:
  • Phone: 530-345-1600
  • Fax: 530-345-1685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: