Healthcare Provider Details

I. General information

NPI: 1366894198
Provider Name (Legal Business Name): JING ZHANG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 LOMITA BLVD STE 310
TORRANCE CA
90505-5113
US

IV. Provider business mailing address

2841 LOMITA BLVD STE 310
TORRANCE CA
90505-5113
US

V. Phone/Fax

Practice location:
  • Phone: 310-784-6946
  • Fax:
Mailing address:
  • Phone: 310-784-6946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number60941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: