Provider Demographics
NPI:1427531243
Name:ZANG, RAY HONGRUI (RPH)
Entity type:Individual
Prefix:DR
First Name:RAY
Middle Name:HONGRUI
Last Name:ZANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 GREENPORT AVE APT B
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2136
Mailing Address - Country:US
Mailing Address - Phone:626-622-5238
Mailing Address - Fax:
Practice Address - Street 1:78218 VARNER RD
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-4134
Practice Address - Country:US
Practice Address - Phone:760-200-4382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist