Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A145510 | CA |
NPI | 1053865949 |
---|---|
Provider Name | Zhipeng Zhang |
First Address | Los Angeles, CA 90033-1352 |
Second Address | Los Angeles, CA 90089-0080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2016 |
Last Update Date | 29/11/2021 |