Healthcare Provider Details

I. General information

NPI: 1508394354
Provider Name (Legal Business Name): TONGTONG ANNA ZHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 WESTWOOD PLZ
LOS ANGELES CA
90024-5055
US

IV. Provider business mailing address

760 WESTWOOD PLZ STE 37-384
LOS ANGELES CA
90024-5055
US

V. Phone/Fax

Practice location:
  • Phone: 310-206-6721
  • Fax:
Mailing address:
  • Phone: 210-206-6721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number157122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: