Healthcare Provider Details

I. General information

NPI: 1083280853
Provider Name (Legal Business Name): YI ZHENG MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 YGNACIO VALLEY RD STE E105
WALNUT CREEK CA
94598-3340
US

IV. Provider business mailing address

2121 YGNACIO VALLEY RD STE E105
WALNUT CREEK CA
94598-3340
US

V. Phone/Fax

Practice location:
  • Phone: 925-384-9276
  • Fax:
Mailing address:
  • Phone: 415-828-7915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YI ZHENG
Title or Position: MD
Credential: MD
Phone: 415-828-7915