Provider Demographics
NPI:1548215478
Name:ALPUERTO, ZENEN TAN (MD)
Entity Type:Individual
Prefix:
First Name:ZENEN
Middle Name:TAN
Last Name:ALPUERTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4758 BELFORD PEAK CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8337
Mailing Address - Country:US
Mailing Address - Phone:707-423-7342
Mailing Address - Fax:707-423-5058
Practice Address - Street 1:4758 BELFORD PEAK CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8337
Practice Address - Country:US
Practice Address - Phone:707-423-7342
Practice Address - Fax:707-423-5058
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA51647207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine