Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 246744 | NY |
N | 207P00000X | Emergency Physician | C163053 | CA |
Y | 207RC0200X | Critical Care Medicine | C163053 | CA |
N | 207RC0200X | Critical Care Medicine | MD459528 | PA |
NPI | 1083874366 |
---|---|
Provider Name | Dr. Xun Zhong |
First Address | Modesto, CA 95358-6411 |
Second Address | Daly City, CA 94015-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 10/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03254639 | (05) | NY |