Basic Information
| Provider Information | |||||||||
| NPI: | 1669893384 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHANG | ||||||||
| FirstName: | RUI-TAO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | LOMA LINDA UNIVERSITY | ||||||||
| Address2: | 11234 ANDERSON ST, MC-1590 | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923542741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095584884 | ||||||||
| FaxNumber: | 9095580428 | ||||||||
| Practice Location | |||||||||
| Address1: | LOMA LINDA UNIVERSITY | ||||||||
| Address2: | 11234 ANDERSON ST, MC-1590 | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923542741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095584884 | ||||||||
| FaxNumber: | 9095580428 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/23/2013 | ||||||||
| LastUpdateDate: | 12/22/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A128943 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.