Healthcare Provider Details

I. General information

NPI: 1932554763
Provider Name (Legal Business Name): VICTOR ZHANG ZHU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N CAMDEN DR STE 770
BEVERLY HILLS CA
90210-4406
US

IV. Provider business mailing address

433 N CAMDEN DR STE 770
BEVERLY HILLS CA
90210-4406
US

V. Phone/Fax

Practice location:
  • Phone: 310-362-5292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA177920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: