Basic Information
Provider Information
NPI: 1346474020
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: XIAOQIAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ZHANG
OtherFirstName: CYNTHIA
OtherMiddleName:  
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 5
Mailing Information
Address1: 1450 TREAT BLVD
Address2: STE 300
City: WALNUT CREEK
State: CA
PostalCode: 945972168
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5720 STONERIDGE MALL RD
Address2: STE 330
City: PLEASANTON
State: CA
PostalCode: 945882895
CountryCode: US
TelephoneNumber: 9257340336
FaxNumber: 9257340175
Other Information
ProviderEnumerationDate: 05/08/2009
LastUpdateDate: 08/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X256641-1NYN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000XA136474CAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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