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General NPI Number Information
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NPI Number | 1285429878
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Entity Type | Organization
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Legal Business Name | KEVIN ZHANG CHILDREN AND ADOLESCENT CLINIC INC.
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1535 W MERCED AVE STE 306
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City | WEST COVINA
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State | CA
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Zip | 91790-3404
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Country | US
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Telephone | 626-960-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 W MERCED AVE STE 306
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City | WEST COVINA
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State | CA
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Zip | 91790-3404
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Country | US
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Telephone | 626-960-2977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN JUNCONG ZHANG
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Credential | MD
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Telephone | 205-243-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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