Provider Demographics
NPI:1215683149
Name:ZINGKHAI, RUFUS
Entity type:Individual
Prefix:
First Name:RUFUS
Middle Name:
Last Name:ZINGKHAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CUTLASS DR APT 609
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-4712
Mailing Address - Country:US
Mailing Address - Phone:510-260-6043
Mailing Address - Fax:
Practice Address - Street 1:7 LE CLAIRE CT
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3526
Practice Address - Country:US
Practice Address - Phone:415-444-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health