Healthcare Provider Details

I. General information

NPI: 1184954430
Provider Name (Legal Business Name): NAN ZHU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2010
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD DEPARTMENT OF ANESTHESIOLOGY, RM. 8211
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

8700 BEVERLY BLVD DEPARTMENT OF ANESTHESIOLOGY, RM. 8211
WEST HOLLYWOOD CA
90048-1804
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-5846
  • Fax:
Mailing address:
  • Phone: 310-423-5846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number138503
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number138503
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: