Healthcare Provider Details

I. General information

NPI: 1871120162
Provider Name (Legal Business Name): SHANNON SHUEYIN ZHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 THE CITY DR S STE 400
ORANGE CA
92868-3201
US

IV. Provider business mailing address

200 S MANCHESTER AVE STE 400
ORANGE CA
92868-3220
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-5691
  • Fax: 714-456-8874
Mailing address:
  • Phone: 714-456-7890
  • Fax: 714-966-3367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA183046
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: