| Dr. Jiachang Zhang, Inc. | |
|
511 Encinitas Blvd Ste 118 Encinitas CA 92024-3781 | |
| (760) 392-1279 | |
| Not Available |
| Full Name | Dr. Jiachang Zhang, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 511 Encinitas Blvd Ste 118, Encinitas, California |
| Authorized Official Name and Position | Jiachang Zhang (DOCTOR) |
| Authorized Official Contact | 7603921279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jiachang Zhang, Inc. 511 Encinitas Blvd Ste 118 Encinitas CA 92024-3781 Ph: () - | Dr. Jiachang Zhang, Inc. 511 Encinitas Blvd Ste 118 Encinitas CA 92024-3781 Ph: (760) 392-1279 |
| NPI Number | 1124585773 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 4880024637 |
|---|---|
| Medicare Enrollment ID | O20200420001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124585773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jiachang Zhang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578649604 PECOS PAC ID: 8325478175 Enrollment ID: I20200420001733 |
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