Healthcare Provider Details

I. General information

NPI: 1043771850
Provider Name (Legal Business Name): LILY ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 LENNON LN STE 210
WALNUT CREEK CA
94598-5912
US

IV. Provider business mailing address

365 LENNON LN STE 210
WALNUT CREEK CA
94598-5912
US

V. Phone/Fax

Practice location:
  • Phone: 925-947-0888
  • Fax:
Mailing address:
  • Phone: 925-947-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License NumberA196991
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA196991
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: