Healthcare Provider Details

I. General information

NPI: 1578426417
Provider Name (Legal Business Name): XIAOFENG ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10218 TONI CT, CUPERTINO, CA 95014
CUPERTINO CA
95014
US

IV. Provider business mailing address

10218 TONI CT CUPERTINO CA 95014
CUPERTINO CA
95014
US

V. Phone/Fax

Practice location:
  • Phone: 831-224-4774
  • Fax:
Mailing address:
  • Phone: 831-224-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number100739
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: