Healthcare Provider Details

I. General information

NPI: 1922113240
Provider Name (Legal Business Name): YANZHI ZHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 BIG HORN BLVD
ELK GROVE CA
95758-1240
US

IV. Provider business mailing address

10076 MOUNT PICO WAY
ELK GROVE CA
95757-6466
US

V. Phone/Fax

Practice location:
  • Phone: 916-688-2106
  • Fax:
Mailing address:
  • Phone: 530-601-6405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA94831
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: