=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083280853
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YI ZHENG MD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2021
-----------------------------------------------------
Last Update Date | 06/02/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2121 YGNACIO VALLEY RD STE E105
-----------------------------------------------------
City | WALNUT CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94598-3340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-384-9276
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2121 YGNACIO VALLEY RD STE E105
-----------------------------------------------------
City | WALNUT CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94598-3340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-828-7915
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | DR. YI ZHENG
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 415-828-7915
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------