MEDICARE: ALEKSANDR ZHDAN

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	363A00000X	Physician Assistant	60062	CA

General Provider Information

NPI Number	:	1255963922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEKSANDR ZHDAN

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 WILSHIRE BLVD STE 400
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4901
Country	:	US
Telephone Number	:	310-794-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	12/02/2025

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Directions to “ ALEKSANDR ZHDAN ” Practice Location

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