| L Zhong Do, Inc | |
|
438 W Las Tunas Dr San Gabriel CA 91776-1216 | |
| (626) 202-6539 | |
| Not Available |
| Full Name | L Zhong Do, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 438 W Las Tunas Dr, San Gabriel, California |
| Authorized Official Name and Position | Lily Zhong (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3232076313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Zhong Do, Inc 616 N Garfield Ave Monterey Park CA 91754-1141 Ph: (626) 202-6539 | L Zhong Do, Inc 438 W Las Tunas Dr San Gabriel CA 91776-1216 Ph: (626) 202-6539 |
| NPI Number | 1154156107 |
|---|---|
| Provider Enumeration Date | 09/07/2024 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 9830626357 |
|---|---|
| Medicare Enrollment ID | O20241223001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154156107 | NPI | - | NPPES |
| 1578141941 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lily Zhong |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1578141941 PECOS PAC ID: 0749717262 Enrollment ID: I20241223001968 |
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