Healthcare Provider Details

I. General information

NPI: 1982916623
Provider Name (Legal Business Name): YUFENG ZHANG PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 07/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 TOPEKA
IRVINE CA
92604-2554
US

IV. Provider business mailing address

69 TOPEKA
IRVINE CA
92604
US

V. Phone/Fax

Practice location:
  • Phone: 310-866-6721
  • Fax:
Mailing address:
  • Phone: 310-866-6721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62387
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47304
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: