Healthcare Provider Details

I. General information

NPI: 1427535053
Provider Name (Legal Business Name): ZHUOHUI CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 09/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 BALDWIN PL
EL MONTE CA
91731-2204
US

IV. Provider business mailing address

4216 FOUNTAIN AVE
LOS ANGELES CA
90029-2256
US

V. Phone/Fax

Practice location:
  • Phone: 626-774-2988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: