Provider Demographics
NPI:1275698557
Name:ZHANG, ZHI BIN (LAC OMD)
Entity Type:Individual
Prefix:MR
First Name:ZHI
Middle Name:BIN
Last Name:ZHANG
Suffix:
Gender:M
Credentials:LAC OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 GEARY BLVD
Mailing Address - Street 2:#215
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2355
Mailing Address - Country:US
Mailing Address - Phone:415-666-3619
Mailing Address - Fax:510-848-5426
Practice Address - Street 1:5300 GEARY BLVD
Practice Address - Street 2:#215
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2355
Practice Address - Country:US
Practice Address - Phone:415-666-3619
Practice Address - Fax:510-848-5426
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4352171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3649026Medicaid