Healthcare Provider Details

I. General information

NPI: 1427615376
Provider Name (Legal Business Name): ALEXANDER YUAN ZHU DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MAIN ST STE 300
HUNTINGTON BEACH CA
92648-2489
US

IV. Provider business mailing address

PO BOX 512185
LOS ANGELES CA
90051-0185
US

V. Phone/Fax

Practice location:
  • Phone: 714-252-9415
  • Fax: 714-963-8407
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number20A25098
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberOP61536438
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: