Provider Demographics
NPI:1710217591
Name:YANG, ZHONGSHU (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ZHONGSHU
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 STOCKTON BLVD
Mailing Address - Street 2:DEPT OF PSYCHIATRY & BEHAVIORAL SCIENCES, UC DAVIS
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1353
Mailing Address - Country:US
Mailing Address - Phone:916-734-3574
Mailing Address - Fax:916-734-8049
Practice Address - Street 1:2230 STOCKTON BLVD
Practice Address - Street 2:DEPT OF PSYCHIATRY & BEHAVIORAL SCIENCES, UC DAVIS
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1353
Practice Address - Country:US
Practice Address - Phone:916-734-3574
Practice Address - Fax:916-734-8049
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA1139012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program