Healthcare Provider Details
I. General information
NPI: 1598773004
Provider Name (Legal Business Name): YUECHUN CINDY ZHENG-HECZKO M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 N GARFIELD AVE
MONTEREY PARK CA
91754-1202
US
IV. Provider business mailing address
225 S LAKE AVE 535
PASADENA CA
91101-3005
US
V. Phone/Fax
- Phone: 626-573-2222
- Fax: 626-312-2296
- Phone: 626-795-6596
- Fax: 626-795-8247
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
YUECHUN
CINDY
ZHENG-HECZKO
Title or Position: PRESIDENT
Credential: M.D
Phone: 323-253-0641