Healthcare Provider Details

I. General information

NPI: 1619980901
Provider Name (Legal Business Name): KUN ZHONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 BARRY PL
ESCONDIDO CA
92026-1655
US

IV. Provider business mailing address

21000 MIDDLEBELT RD
FARMINGTON HILLS MI
48336-5546
US

V. Phone/Fax

Practice location:
  • Phone: 248-345-4798
  • Fax:
Mailing address:
  • Phone: 248-474-3132
  • Fax: 248-474-3181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberKZ063288
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC199437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: