Healthcare Provider Details

I. General information

NPI: 1295459303
Provider Name (Legal Business Name): DANYU ZHANG REGISTERED DIETITIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022
Certification Date: 10/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38905 BLUEBELL DR
NEWARK CA
94560-4903
US

IV. Provider business mailing address

35640 FREMONT BLVD # 101
FREMONT CA
94536-3420
US

V. Phone/Fax

Practice location:
  • Phone: 510-219-9618
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number86100723
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: