Healthcare Provider Details

I. General information

NPI: 1861703779
Provider Name (Legal Business Name): FRANK ZHENG ZHAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANK ZHENG ZHAO M.D.

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10790 RANCHO BERNARDO RD # 4S-205
SAN DIEGO CA
92127-5705
US

IV. Provider business mailing address

550 S BERETANIA ST STE 509
HONOLULU HI
96813-2414
US

V. Phone/Fax

Practice location:
  • Phone: 858-605-7171
  • Fax:
Mailing address:
  • Phone: 808-691-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD18695
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD18695
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMD18695
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: