Provider Demographics
NPI:1023059201
Name:ZHENG, WEIWEN (MD)
Entity type:Individual
Prefix:DR
First Name:WEIWEN
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 STOCKTON ST
Mailing Address - Street 2:SUITE 328
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1633
Mailing Address - Country:US
Mailing Address - Phone:415-398-2698
Mailing Address - Fax:415-398-2686
Practice Address - Street 1:950 STOCKTON ST
Practice Address - Street 2:SUITE 328
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1633
Practice Address - Country:US
Practice Address - Phone:415-398-2698
Practice Address - Fax:415-398-2686
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92238207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2177736Medicaid
CAI07908Medicare UPIN
CA00A922381Medicare ID - Type Unspecified
CA00A922380Medicare ID - Type Unspecified