Healthcare Provider Details

I. General information

NPI: 1720911985
Provider Name (Legal Business Name): PAN ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 SOUTH DR STE 4
MOUNTAIN VIEW CA
94040-4207
US

IV. Provider business mailing address

9 S 23RD ST
SAN JOSE CA
95116-2225
US

V. Phone/Fax

Practice location:
  • Phone: 408-420-4383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: