Healthcare Provider Details

I. General information

NPI: 1790044626
Provider Name (Legal Business Name): DAGNY ZHU LUONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAGNY CHEN ZHU

II. Dates (important events)

Enumeration Date: 05/12/2012
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W LA VETA AVE STE 615
ORANGE CA
92868-4310
US

IV. Provider business mailing address

1010 W LA VETA AVE STE 615
ORANGE CA
92868-4310
US

V. Phone/Fax

Practice location:
  • Phone: 714-983-5001
  • Fax: 714-475-3680
Mailing address:
  • Phone: 714-983-5001
  • Fax: 714-475-3680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License NumberA127715
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA127715
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: