Healthcare Provider Details

I. General information

NPI: 1770134975
Provider Name (Legal Business Name): JOYCE ZHONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2019
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date: 08/21/2024
Reactivation Date: 08/28/2024

III. Provider practice location address

300 ILENE ST
MARTINEZ CA
94553-2631
US

IV. Provider business mailing address

66 S SAN ANTONIO RD
SANTA BARBARA CA
93110-1720
US

V. Phone/Fax

Practice location:
  • Phone: 925-326-0647
  • Fax:
Mailing address:
  • Phone: 805-947-5175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: