Healthcare Provider Details

I. General information

NPI: 1164596102
Provider Name (Legal Business Name): TONG ZHANG ACUPUNCTURIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 PACIFIC AVE SUITE 606
SAN FRANCISCO CA
94133-4457
US

IV. Provider business mailing address

599 9TH ST
OAKLAND CA
94607-3837
US

V. Phone/Fax

Practice location:
  • Phone: 415-788-1788
  • Fax: 415-788-0899
Mailing address:
  • Phone: 510-628-0638
  • Fax: 415-788-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC8618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: