Zhao Yang Pan M.D. Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A055081 Issued in CA

Legal business name

ZHAO YANG PAN M.D. INC

Practice address

652 N Broadway
Suite a
Los Angeles, CA 90012-2802

Phone

(213) 617-7673

Fax

(213) 626-2168

NPI assigned

Mar 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zhao Yang Pan, M.D.NPI 1225193964

Title

M.D.

Phone

(213) 617-7673

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zhaoyang Pan, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1225193964
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649390717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 N BROADWAY",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122802",
            "telephone_number": "213-617-7673",
            "fax_number": "213-626-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N BROADWAY",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122802",
            "telephone_number": "213-617-7673",
            "fax_number": "213-626-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHAO YANG PAN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "ZHAO YANG",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "213-617-7673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A055081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A550810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yi Zhang
• Yuanhang Zhang, DDS
• Yuefeng Zhang
• Zhao Zhang, DO
• Zhipeng Zhang, M.D.
• Alex Tang Zhao, MD
• Ana Zhao
• Baiyu Zhao, RD
• Charlie Y Zhao, MS, RD
• Hu Zhao, D.D.S.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.