Healthcare Provider Details

I. General information

NPI: 1912845520
Provider Name (Legal Business Name): ALEX ZHAO ANESTHESIA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

2450 DEHESA RD
EL CAJON CA
92019-2728
US

V. Phone/Fax

Practice location:
  • Phone: 919-889-7278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEX ZHAO
Title or Position: MD
Credential: MD
Phone: 919-889-7278