MEDICARE: DOUGLAS D. ZHANG, M.D. INC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1336215649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS D. ZHANG, M.D. INC

Provider Business Mailing Address
First Line	:	13851 E 14TH ST STE 102
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2628
Country	:	US
Telephone Number	:	510-351-2100
Fax Number	:	510-357-3389

Provider Business Practice Location Address
First Line	:	13851 E 14TH ST STE 102
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2628
Country	:	US
Telephone Number	:	510-351-2100
Fax Number	:	510-357-3389

Authorized Official
Title or Position	:	BUSINESS DEPARTMENT
Name	:	MRS. DOREEN FERNANDEZ
Credential	:
Telephone Number	:	510-351-2100

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	03/23/2011

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