Provider Demographics
NPI:1164596102
Name:ZHANG, TONG (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:TONG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 9TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3837
Mailing Address - Country:US
Mailing Address - Phone:510-628-0638
Mailing Address - Fax:415-788-0899
Practice Address - Street 1:728 PACIFIC AVE
Practice Address - Street 2:SUITE 606
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4457
Practice Address - Country:US
Practice Address - Phone:415-788-1788
Practice Address - Fax:415-788-0899
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8618171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA0086181OtherBLUE SHIELD OF CALIFORNIA
CA1037997OtherAMERICAN SPECIALTY
CA672664OtherOPTUM HEALTH PHYSICAL HEALTH OF CALIFORNIA, INC.
CA607347700OtherDEPT OF LABOR - OWCP
CAAC0086180Medicaid
CAACA618BOtherLANDMARK HEALTHCARE
CACA0086180OtherBLUE SHIELD OF CALIFORNIA
CA710978274OtherBLUE CROSS OF CALIFORNIA