Provider Demographics
NPI:1891001590
Name:B.J. MEDICAL GROUP
Entity Type:Organization
Organization Name:B.J. MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-731-2000
Mailing Address - Street 1:2360 IRVING STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1621
Mailing Address - Country:US
Mailing Address - Phone:415-731-2000
Mailing Address - Fax:415-731-2002
Practice Address - Street 1:2360 IRVING STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1621
Practice Address - Country:US
Practice Address - Phone:415-731-2000
Practice Address - Fax:415-731-2002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B.J. MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53395207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A532950Medicaid
CAF95838Medicare UPIN