Healthcare Provider Details

I. General information

NPI: 1033969860
Provider Name (Legal Business Name): ALLISON YUAN ZHONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 10/19/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 BLAKE WILBUR DR
PALO ALTO CA
94304-2205
US

IV. Provider business mailing address

875 BLAKE WILBUR DRIVE MAIL CODE: 5847
STANFORD CA
94305
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-6171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number14652
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number14652
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: