MEDICARE: ZHEN ZHAO

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1912356015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHEN ZHAO

Provider Business Mailing Address
First Line	:	711 VAN NESS
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102
Country	:	US
Telephone Number	:	415-867-9485
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-3244
Country	:	US
Telephone Number	:	415-867-9485
Fax Number	:

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

Provider Enumeration Date	:	06/09/2016
Last Update Date	:	06/09/2016

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Directions to “ ZHEN ZHAO ” Practice Location

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