Provider Demographics
NPI:1275571614
Name:NZ MEDICAL CENTER INC
Entity Type:Organization
Organization Name:NZ MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:
Authorized Official - First Name:YAN PING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-442-2929
Mailing Address - Street 1:10942 RAMONA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2644
Mailing Address - Country:US
Mailing Address - Phone:626-442-2929
Mailing Address - Fax:626-444-0727
Practice Address - Street 1:10942 RAMONA BLVD STE B
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2644
Practice Address - Country:US
Practice Address - Phone:626-442-2929
Practice Address - Fax:626-444-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A830340Medicaid
CAW19996Medicare PIN
CAI14879Medicare UPIN