Provider Demographics
NPI:1164481180
Name:BZ MEDICAL CORPORATION
Entity Type:Organization
Organization Name:BZ MEDICAL CORPORATION
Other - Org Name:TRACY REHABILITATION AND PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-830-6558
Mailing Address - Street 1:2160 W GRANT LINE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-7331
Mailing Address - Country:US
Mailing Address - Phone:209-830-6558
Mailing Address - Fax:209-830-7908
Practice Address - Street 1:2160 W GRANT LINE RD STE 110
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95377-7331
Practice Address - Country:US
Practice Address - Phone:209-830-6558
Practice Address - Fax:209-830-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA833502081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29746ZMedicare ID - Type Unspecified