Healthcare Provider Details

I. General information

NPI: 1194672451
Provider Name (Legal Business Name): ZHIYANG ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MARK WEST SPRINGS RD
SANTA ROSA CA
95403-1436
US

IV. Provider business mailing address

30 MARK WEST SPRINGS RD
SANTA ROSA CA
95403-1436
US

V. Phone/Fax

Practice location:
  • Phone: 707-576-4340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number89973
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: