Provider Demographics
NPI:1497904726
Name:ZHU, CHANG (B,A)
Entity Type:Individual
Prefix:MR
First Name:CHANG
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:B,A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 SUTTER ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3109
Mailing Address - Country:US
Mailing Address - Phone:415-776-1001
Mailing Address - Fax:415-776-1066
Practice Address - Street 1:2201 SUTTER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3109
Practice Address - Country:US
Practice Address - Phone:415-776-1001
Practice Address - Fax:415-776-1066
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD3367827101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)