Healthcare Provider Details

I. General information

NPI: 1336921774
Provider Name (Legal Business Name): YAN HONG ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GROVE ST RM 323
SAN FRANCISCO CA
94102-4505
US

IV. Provider business mailing address

101 GROVE ST RM 323
SAN FRANCISCO CA
94102-4505
US

V. Phone/Fax

Practice location:
  • Phone: 415-554-2712
  • Fax:
Mailing address:
  • Phone: 415-554-2712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: