Healthcare Provider Details

I. General information

NPI: 1972008605
Provider Name (Legal Business Name): ERIC ZHUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20311 SW ACACIA ST STE 140
NEWPORT BEACH CA
92660-1733
US

IV. Provider business mailing address

20311 SW ACACIA ST STE 140
NEWPORT BEACH CA
92660-1733
US

V. Phone/Fax

Practice location:
  • Phone: 949-891-1441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD475189
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberA165492
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA165492
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA165492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: