Provider Demographics
NPI:1366005720
Name:HE, ZI YANG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZI YANG
Middle Name:
Last Name:HE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 HILLTOP DR APT 75
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-3261
Mailing Address - Country:US
Mailing Address - Phone:917-622-1828
Mailing Address - Fax:
Practice Address - Street 1:275 HILLTOP DR APT 75
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-3261
Practice Address - Country:US
Practice Address - Phone:917-622-1828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-20
Last Update Date:2019-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80483183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist