Healthcare Provider Details

I. General information

NPI: 1497953558
Provider Name (Legal Business Name): YING ZHANG MD PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 08/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 MOORPARK AVE SUITE 119
SAN JOSE CA
95128-2631
US

IV. Provider business mailing address

PO BOX 352
PALO ALTO CA
94302-0352
US

V. Phone/Fax

Practice location:
  • Phone: 408-288-6188
  • Fax: 408-288-6187
Mailing address:
  • Phone: 408-288-6188
  • Fax: 408-288-6187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA88806
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA88806
License Number StateCA

VIII. Authorized Official

Name: YING ZHANG
Title or Position: OWNER
Credential: M.D.
Phone: 408-288-6188