Provider Demographics
NPI:1659769073
Name:LUO, ZEMENG
Entity Type:Individual
Prefix:
First Name:ZEMENG
Middle Name:
Last Name:LUO
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 1:845 JACKSON ST # B1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4851
Mailing Address - Country:US
Mailing Address - Phone:415-677-2370
Mailing Address - Fax:
Practice Address - Street 1:845 JACKSON ST FL B1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4899
Practice Address - Country:US
Practice Address - Phone:415-677-2370
Practice Address - Fax:415-217-4181
Is Sole Proprietor?:No
Enumeration Date:2015-01-07
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA806560163W00000X
CA95022858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse