Healthcare Provider Details

I. General information

NPI: 1285455212
Provider Name (Legal Business Name): VICTOR ZHU, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
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 Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VICTOR ZHANG ZHU
Title or Position: PRESIDENT
Credential: MD
Phone: 571-218-6574