Provider Demographics
NPI:1013938760
Name:ZHANG, JUE-RONG (MD)
Entity Type:Individual
Prefix:DR
First Name:JUE-RONG
Middle Name:
Last Name:ZHANG
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 1:890 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2208
Mailing Address - Country:US
Mailing Address - Phone:559-686-4000
Mailing Address - Fax:559-686-9432
Practice Address - Street 1:890 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2208
Practice Address - Country:US
Practice Address - Phone:559-686-4000
Practice Address - Fax:559-686-9432
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A695670207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ58691ZMedicaid
CAZZZ58691ZMedicaid
H56670Medicare UPIN