Provider Demographics
NPI:1154571420
Name:YI ZHENG
Entity type:Organization
Organization Name:YI ZHENG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:FUJIPKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-974-2008
Mailing Address - Street 1:2011 ZONAL AVE
Mailing Address - Street 2:HMR 101, DEPT. GASTROENTEROLOGY & HEPATOLOGY, USC
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0110
Mailing Address - Country:US
Mailing Address - Phone:323-442-5576
Mailing Address - Fax:
Practice Address - Street 1:2011 ZONAL AVE
Practice Address - Street 2:HMR 101, DEPT. GASTROENTEROLOGY & HEPATOLOGY, USC
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0110
Practice Address - Country:US
Practice Address - Phone:323-442-5576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95560282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital