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NPI Code Detail

MEDICARE: ZE VANG LMFT # 104480

MEDICARE: ZE VANG LMFT # 104480
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
1106H00000XMarriage & Family Therapist104480CA

General Provider Information

NPI Number : 1578865457
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZE VANG LMFT # 104480
Provider Business Mailing Address
First Line : 4879 E KINGS CANYON RD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-313-6338
Fax Number :
Provider Business Practice Location Address
First Line : 4855 E KINGS CANYON RD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2010
Last Update Date : 05/27/2026

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Directions to “ ZE VANG LMFT # 104480” Practice Location

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