Healthcare Provider Details

I. General information

NPI: 1356922926
Provider Name (Legal Business Name): WENDY ZHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UCLA MEDICAL PLZ STE 550
LOS ANGELES CA
90024-6998
US

IV. Provider business mailing address

757 WESTWOOD PLZ STE 1638
LOS ANGELES CA
90095-8358
US

V. Phone/Fax

Practice location:
  • Phone: 312-825-2144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA208363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: