Healthcare Provider Details

I. General information

NPI: 1518258672
Provider Name (Legal Business Name): HONGYAN ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 TARAVAL ST
SAN FRANCISCO CA
94116-2424
US

IV. Provider business mailing address

275 HOLLY AVE
SOUTH SAN FRANCISCO CA
94080-1338
US

V. Phone/Fax

Practice location:
  • Phone: 415-664-4909
  • Fax: 628-899-8666
Mailing address:
  • Phone: 415-813-7909
  • Fax: 628-899-8666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC14186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: