MEDICARE: YI ZHENG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	A95560	CA

General Provider Information

NPI Number	:	1154571420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YI ZHENG

Provider Business Mailing Address
First Line	:	2011 ZONAL AVE
Second Line	:	HMR 101, DEPT. GASTROENTEROLOGY & HEPATOLOGY, USC
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-0110
Country	:	US
Telephone Number	:	323-442-5576
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 ZONAL AVE
Second Line	:	HMR 101, DEPT. GASTROENTEROLOGY & HEPATOLOGY, USC
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-0110
Country	:	US
Telephone Number	:	323-442-5576
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. WILLIAM T FUJIPKA
Credential	:
Telephone Number	:	213-974-2008

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	12/22/2008

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