Provider Demographics
NPI:1134637861
Name:ZHAO, HONGMEI (NP)
Entity Type:Individual
Prefix:
First Name:HONGMEI
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1410
Mailing Address - Country:US
Mailing Address - Phone:510-849-0484
Mailing Address - Fax:
Practice Address - Street 1:1451 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1410
Practice Address - Country:US
Practice Address - Phone:248-840-9767
Practice Address - Fax:248-840-9767
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008310207Q00000X
CANP95008310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine