Healthcare Provider Details

I. General information

NPI: 1033997614
Provider Name (Legal Business Name): CHRISTY NOEL ZUROFF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16400 PACIFIC COAST HWY
HUNTINGTON BEACH CA
92649-1830
US

IV. Provider business mailing address

7455 HEREFORD LN
CHINO CA
91708-9138
US

V. Phone/Fax

Practice location:
  • Phone: 714-719-9772
  • Fax:
Mailing address:
  • Phone: 714-928-1222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95024384
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: