MEDICARE: DR. MICHAEL YU ZHANG M.D., PH.D.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0001X	Radiation Oncology Physician	A155764	CA

General Provider Information

NPI Number	:	1861856718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL YU ZHANG M.D., PH.D.

Provider Business Mailing Address
First Line	:	575 OXFORD ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94134-1612
Country	:	US
Telephone Number	:	630-596-3456
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HOSPITAL DR STE 100
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94589-2577
Country	:	US
Telephone Number	:	707-551-3400
Fax Number	:

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

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	10/26/2022

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