Provider Demographics
NPI:1578762704
Name:LI, ZIZHUANG (MD)
Entity Type:Individual
Prefix:
First Name:ZIZHUANG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24578 SUNNYMEAD BLVE #C
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553
Mailing Address - Country:US
Mailing Address - Phone:951-924-5770
Mailing Address - Fax:952-485-8523
Practice Address - Street 1:24578 SUNNYMEAD BLVD STE C&D
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-3789
Practice Address - Country:US
Practice Address - Phone:951-924-5770
Practice Address - Fax:951-485-8523
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1045362083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine