Healthcare Provider Details

I. General information

NPI: 1699578534
Provider Name (Legal Business Name): ERIC ZHUANG MD, MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20311 SW ACACIA ST STE 150
NEWPORT BEACH CA
92660-1733
US

IV. Provider business mailing address

23 CRESTVIEW DR
RANCHO SANTA MARGARITA CA
92688-5548
US

V. Phone/Fax

Practice location:
  • Phone: 949-357-0753
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC ZHUANG
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 949-356-8083