Healthcare Provider Details

I. General information

NPI: 1528043551
Provider Name (Legal Business Name): XIN ZHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6250 CLAY ST
RIVERSIDE CA
92509-6005
US

IV. Provider business mailing address

6250 CLAY ST
RIVERSIDE CA
92509-6005
US

V. Phone/Fax

Practice location:
  • Phone: 951-360-5275
  • Fax: 951-360-9069
Mailing address:
  • Phone: 951-360-5275
  • Fax: 951-360-9069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA84817
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA84817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: