Provider Demographics
NPI:1356592422
Name:ZHONG, XUE KATE (MD)
Entity type:Individual
Prefix:DR
First Name:XUE
Middle Name:KATE
Last Name:ZHONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:ZHONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14652 DEERVALE PL
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-4613
Mailing Address - Country:US
Mailing Address - Phone:310-994-9941
Mailing Address - Fax:818-788-4492
Practice Address - Street 1:5000 VAN NUYS BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1793
Practice Address - Country:US
Practice Address - Phone:818-907-1480
Practice Address - Fax:818-907-1482
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1026922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry