Provider Demographics
NPI:1386768737
Name:ZHANG, YUNHAN (DPM)
Entity type:Individual
Prefix:
First Name:YUNHAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27200 IRIS AVE
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-4803
Mailing Address - Country:US
Mailing Address - Phone:951-251-6000
Mailing Address - Fax:
Practice Address - Street 1:27200 IRIS AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-4803
Practice Address - Country:US
Practice Address - Phone:951-251-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4708213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E47080Medicaid
CA000E47081Medicare PIN
CA000E47080Medicare PIN