Healthcare Provider Details

I. General information

NPI: 1902549843
Provider Name (Legal Business Name): TZU-EN LIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6080 N LA CHOLLA BLVD STE B
TUCSON AZ
85741-3555
US

IV. Provider business mailing address

6080 N LA CHOLLA BLVD STE B
TUCSON AZ
85741-3555
US

V. Phone/Fax

Practice location:
  • Phone: 520-593-6875
  • Fax:
Mailing address:
  • Phone: 949-433-7953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberR3792
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number011951
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: