Provider Demographics
NPI:1235442989
Name:OHS MEDICAL CENTER
Entity Type:Organization
Organization Name:OHS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIZHUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-924-5770
Mailing Address - Street 1:24578 SUNNYMEAD BLVD
Mailing Address - Street 2:C AND D
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-3789
Mailing Address - Country:US
Mailing Address - Phone:951-924-7550
Mailing Address - Fax:951-485-8523
Practice Address - Street 1:24578 SUNNYMEAD BLVD
Practice Address - Street 2:C AND D
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-3789
Practice Address - Country:US
Practice Address - Phone:951-924-7550
Practice Address - Fax:951-485-8523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1045362083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty