Basic Information
| Provider Information | |||||||||
| NPI: | 1427448893 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHONG | ||||||||
| FirstName: | JUN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16430 N SCOTTSDALE RD STE 210 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852541581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022667000 | ||||||||
| FaxNumber: | 6026268901 | ||||||||
| Practice Location | |||||||||
| Address1: | 16620 N 40TH ST STE E-1 | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850323348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6024649576 | ||||||||
| FaxNumber: | 6026268901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2015 | ||||||||
| LastUpdateDate: | 09/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | MTL002309 | DC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | 55623 | AZ | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 392719 | 05 | AZ | MEDICAID |