Healthcare Provider Details

I. General information

NPI: 1215698378
Provider Name (Legal Business Name): HAISHENG ZHANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2021
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2062 WALSH AVE STE C2
SANTA CLARA CA
95050-2502
US

IV. Provider business mailing address

2010 EL CAMINO REAL # 354
SANTA CLARA CA
95050-4051
US

V. Phone/Fax

Practice location:
  • Phone: 650-213-7453
  • Fax:
Mailing address:
  • Phone: 650-213-7453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number19338
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: