Healthcare Provider Details

I. General information

NPI: 1619275021
Provider Name (Legal Business Name): APOLLO FAMILY MEDICINE AND SLEEP MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 08/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 STOCKTON ST SUITE 200
SAN FRANCISCO CA
94108-1633
US

IV. Provider business mailing address

PO BOX 8221
FOSTER CITY CA
94404-8221
US

V. Phone/Fax

Practice location:
  • Phone: 415-398-9861
  • Fax: 415-398-4718
Mailing address:
  • Phone: 415-398-9861
  • Fax: 415-398-4718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: WENGUANG KEVIN ZHAO
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 650-504-6640