Healthcare Provider Details

I. General information

NPI: 1578480034
Provider Name (Legal Business Name): ZUOLIN WU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4931 NEW CASTLE LN APT B
COVINA CA
91724-1656
US

IV. Provider business mailing address

4931 NEW CASTLE LN APT B
COVINA CA
91724-1656
US

V. Phone/Fax

Practice location:
  • Phone: 626-642-8253
  • Fax:
Mailing address:
  • Phone: 626-642-8253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: