Healthcare Provider Details

I. General information

NPI: 1265862056
Provider Name (Legal Business Name): ZENG MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2013
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 7TH AVE S
SEATTLE WA
98104-2906
US

IV. Provider business mailing address

PO BOX 1573
MERCER ISLAND WA
98040-1573
US

V. Phone/Fax

Practice location:
  • Phone: 206-332-9888
  • Fax:
Mailing address:
  • Phone: 206-332-9888
  • Fax: 206-332-5998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YUN ZENG
Title or Position: PRESIDENT
Credential: MD
Phone: 206-332-9888