Provider Demographics
NPI:1306138961
Name:ZHANG, YUBO (AC 13984)
Entity type:Individual
Prefix:MR
First Name:YUBO
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:AC 13984
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAYWOOD AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1537
Mailing Address - Country:US
Mailing Address - Phone:650-579-2818
Mailing Address - Fax:650-579-2818
Practice Address - Street 1:1 BAYWOOD AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1537
Practice Address - Country:US
Practice Address - Phone:650-579-2818
Practice Address - Fax:650-579-2818
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13984171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist