Healthcare Provider Details

I. General information

NPI: 1467376665
Provider Name (Legal Business Name): YING LU ZHANG RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOHN ZHANG RN

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MOWRY AVE STE 300
FREMONT CA
94538-1626
US

IV. Provider business mailing address

2333 MOWRY AVE STE 300
FREMONT CA
94538-1626
US

V. Phone/Fax

Practice location:
  • Phone: 510-894-0154
  • Fax: 510-894-1382
Mailing address:
  • Phone: 510-894-0154
  • Fax: 510-894-1382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number716660
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: