MEDICARE: DR. SHAOBIN 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	54329	CA
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DI21528	NJ

General Provider Information

NPI Number	:	1215005640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAOBIN ZHANG

Provider Business Mailing Address
First Line	:	46132 WARM SPRINGS BLVD,, SUITE 125
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-5832
Country	:	US
Telephone Number	:	510-687-9865
Fax Number	:	510-249-9668

Provider Business Practice Location Address
First Line	:	46132 WARM SPRINGS BLVD UNIT 125
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-7982
Country	:	US
Telephone Number	:	510-687-9865
Fax Number	:	510-249-9668

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	10/15/2012

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Directions to “ DR. SHAOBIN ZHANG ” Practice Location

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