MEDICARE: AMY M ZHENG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	34383	AZ
2	207P00000X	Emergency Medicine Physician	A108213	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00455558	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669443511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY M ZHENG M.D.

Provider Business Mailing Address
First Line	:	3350 LA JOLLA VILLAGE DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92161-0002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3350 LA JOLLA VILLAGE DR SAN DIEGO
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92161-0001
Country	:	US
Telephone Number	:	858-552-8585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	05/13/2019

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Directions to “ AMY M ZHENG M.D.” Practice Location

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