Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A90768 | CA |
N | 207K00000X | Allergist & Immunologist | N0576 | TX |
NPI | 1174787170 |
---|---|
Provider Name | June Y Zhang |
First Address | San Mateo, CA 94401-3915 |
Second Address | San Mateo, CA 94401-3915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 31/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
196788701 | (05) | TX |
196788702 | (05) | TX |
196788703 | (05) | TX |