Provider Demographics
NPI:1144586215
Name:ZEN, ANGELICA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:LYNN
Last Name:ZEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 WALLIN CT
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-5089
Mailing Address - Country:US
Mailing Address - Phone:408-406-7500
Mailing Address - Fax:
Practice Address - Street 1:757 WESTWOOD PLAZA, ROOM B713
Practice Address - Street 2:RONALD REAGAN UCLA MEDICAL CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-825-8307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program