Provider Demographics
NPI:1760464648
Name:ZHUANG, ZHI JIAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ZHI JIAR
Middle Name:
Last Name:ZHUANG
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 1:1600 WEBSTER ST
Mailing Address - Street 2:#307
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3222
Mailing Address - Country:US
Mailing Address - Phone:415-948-9546
Mailing Address - Fax:415-352-2050
Practice Address - Street 1:3122 GEARY BLVD
Practice Address - Street 2:#101
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3317
Practice Address - Country:US
Practice Address - Phone:415-948-9546
Practice Address - Fax:415-352-2050
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA069568-PHYSICIAN174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A695682Medicare ID - Type Unspecified
CAH29955Medicare UPIN