Healthcare Provider Details

I. General information

NPI: 1023925799
Provider Name (Legal Business Name): KAIXUAN ZHENG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 WHITTIER BLVD
LOS ANGELES CA
90023-1637
US

IV. Provider business mailing address

19301 PINNACLE CT
SARATOGA CA
95070-6114
US

V. Phone/Fax

Practice location:
  • Phone: 323-269-5437
  • Fax:
Mailing address:
  • Phone: 216-315-8012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113014
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: