MEDICARE: YUEFENG ZHANG

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	1223G0001X	General Practice Dentistry	DDS109675	CA

General Provider Information

NPI Number	:	1952170698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUEFENG ZHANG

Provider Business Mailing Address
First Line	:	800 S HARVARD BLVD APT 523
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-4268
Country	:	US
Telephone Number	:	513-208-3717
Fax Number	:

Provider Business Practice Location Address
First Line	:	11901 SANTA MONICA BLVD STE 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2783
Country	:	US
Telephone Number	:	513-208-3717
Fax Number	:

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

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/21/2023

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Directions to “ YUEFENG ZHANG ” Practice Location

Language	Start Address	Practice Location

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