MEDICARE: XUYU ZHANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DDS104001	CA

General Provider Information

NPI Number	:	1003466137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XUYU ZHANG

Provider Business Mailing Address
First Line	:	3000 JUDAH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	771 SACRAMENTO ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-2504
Country	:	US
Telephone Number	:	415-362-3388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	09/20/2019

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Directions to “ XUYU ZHANG ” Practice Location

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