Healthcare Provider Details

I. General information

NPI: 1285882274
Provider Name (Legal Business Name): XIAOLING ZHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 08/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8730 ALDEN DRIVE
LOS ANGELES CA
90048
US

IV. Provider business mailing address

8730 ALDEN DRIVE
LOS ANGELES CA
90048
US

V. Phone/Fax

Practice location:
  • Phone: 559-286-5098
  • Fax:
Mailing address:
  • Phone: 559-286-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA98460
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberA98460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: