Basic Information
Provider Information
NPI: 1376963827
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: CINDY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2025 MORSE AVE
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958252115
CountryCode: US
TelephoneNumber: 9167591359
FaxNumber:  
Practice Location
Address1: 11234 ANDERSON ST
Address2: GME OFFICE WESTERLY SUITE C
City: LOMA LINDA
State: CA
PostalCode: 923542804
CountryCode: US
TelephoneNumber: 9095584074
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/23/2014
LastUpdateDate: 12/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA139248CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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