Healthcare Provider Details

I. General information

NPI: 1962277061
Provider Name (Legal Business Name): CROSS FUNCTIONAL MEDICAL CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 YORK ST STE 2
SAN FRANCISCO CA
94110-2102
US

IV. Provider business mailing address

660 YORK ST STE 2
SAN FRANCISCO CA
94110-2102
US

V. Phone/Fax

Practice location:
  • Phone: 510-462-2322
  • Fax:
Mailing address:
  • Phone: 510-462-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JIAWEI ZHANG
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 510-462-2322