Provider Demographics
NPI:1164600508
Name:ZHANG, ALICE FENG
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:FENG
Last Name:ZHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3703
Mailing Address - Country:US
Mailing Address - Phone:415-516-9368
Mailing Address - Fax:415-681-8918
Practice Address - Street 1:1434 7TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-3703
Practice Address - Country:US
Practice Address - Phone:415-516-9368
Practice Address - Fax:415-681-8918
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness