Healthcare Provider Details

I. General information

NPI: 1942878947
Provider Name (Legal Business Name): XINPING PARK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: XINPING ZHANG DO

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8399 GARVEY AVE
ROSEMEAD CA
91770-2650
US

IV. Provider business mailing address

8399 GARVEY AVE
ROSEMEAD CA
91770-2650
US

V. Phone/Fax

Practice location:
  • Phone: 833-471-4510
  • Fax: 833-471-4510
Mailing address:
  • Phone: 833-471-4510
  • Fax: 833-471-4510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A22114
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: