Individual ProviderLichuan ZengInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355-5908(661) 253-5851(310) 301-8707PECOS EnrollmentBased on the most recent information from CMS, provider Lichuan Zeng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1376078667Provider TypeIndividualFull NameZeng, LichuanTitleMr.GenderMaleSole ProprietorNoEnumeration Date4/25/2017Last Updated10/25/2024Contact InformationPractice LocationPractice Address27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355-5908Phone(661) 253-5851FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631Phone(310) 301-8707FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA162888California