Healthcare Provider Details

I. General information

NPI: 1649731951
Provider Name (Legal Business Name): KEVIN ZHENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 WHIPPLE RD
UNION CITY CA
94587-1507
US

IV. Provider business mailing address

3555 WHIPPLE RD
UNION CITY CA
94587-1507
US

V. Phone/Fax

Practice location:
  • Phone: 510-675-4010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number295208
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number195564
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: