Healthcare Provider Details

I. General information

NPI: 1700282126
Provider Name (Legal Business Name): ZHI MENG, DDS. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 CHICAGO AVE
RIVERSIDE CA
92507-5354
US

IV. Provider business mailing address

530 S MAIN ST
ORANGE CA
92868-4525
US

V. Phone/Fax

Practice location:
  • Phone: 951-643-6100
  • Fax: 951-643-6105
Mailing address:
  • Phone: 714-480-3000
  • Fax: 714-571-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ZHI MENG
Title or Position: OWNER
Credential:
Phone: 714-571-3311