Healthcare Provider Details

I. General information

NPI: 1114203395
Provider Name (Legal Business Name): MARTIN YAO HUA ZHANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 ALHAMBRA AVE
MARTINEZ CA
94553-1602
US

IV. Provider business mailing address

706 ALHAMBRA AVE
MARTINEZ CA
94553-1602
US

V. Phone/Fax

Practice location:
  • Phone: 415-568-1569
  • Fax:
Mailing address:
  • Phone: 415-568-1569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number9176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: